Taylor J McCredie, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT004576 Issued in GA

Practice address

9075 Holcomb Dr
Fort Benning, GA 31905-4928

Phone

(518) 925-0831

NPI assigned

Apr 26, 2022

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1295479053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LEE ROAD 51 LOT 67",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368326530",
            "telephone_number": "518-925-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 HOLCOMB DR",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319054928",
            "telephone_number": "518-925-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREDIE",
        "first_name": "TAYLOR",
        "middle_name": "J",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT004576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atia Mbah, FNP
• Charles McAdams, PA-C
• Jon Claud McBride Jr., PA-C
• Michael Gustav McCarthy, MD
• Cori McClatchey, DMD
• Kelly Michelle McElroy, MS, RDN, LDN
• Doris Ann McGowan, LCSW
• Scott Edward McMillan
• Melissa A. Messina, M.D.
• Cathy L. Miles

• Athletic Trainer in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.