Active NPI
Troy Royal Hull, MS, LAT, ATC, OTC
- Athletic Trainer
- Cumming, GA
National Provider Identifier
1275087785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT003794
- Practice address
- 2860 Ronald Reagan Blvd
Cumming, GA 30041-6287 - Phone
- (910) 305-2589
- NPI assigned
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT003794 | GA | Primary |
| Orthopedic Assistant | 246ZX2200X | 20-0605 |
Addresses
Primary practice location
2860 Ronald Reagan Blvd
Cumming, GA 30041-6287
Mailing address
4720 Roseman TRL
Cumming, GA 30040-9343
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000025515 | Other | BOARD OF CERTIFICATION FOR ATHLETIC TRAINING | |
| AT003794 | Other | GA | GEORGIA BOARD OF ATHLETIC TRAINERS |
| 20-0605 | Other | NATIONAL BOARD FOR CERTIFICATION OF ORTHOPAEDIC TECHNOLOGISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT003794 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1275087785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 ROSEMAN TRL",
"city": "CUMMING",
"state": "GA",
"postal_code": "300409343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 RONALD REAGAN BLVD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416287",
"telephone_number": "910-305-2589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "TROY",
"middle_name": "ROYAL",
"name_prefix": "Mrs.",
"credential": "MS, LAT, ATC, OTC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT003794",
"primary": true
},
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": "20-0605",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION FOR ATHLETIC TRAINING",
"identifier": "2000025515",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF ATHLETIC TRAINERS",
"identifier": "AT003794",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION OF ORTHOPAEDIC TECHNOLOGISTS",
"identifier": "20-0605",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.