Individual provider Active NPI

Caroline Ligon Ferguson, ATC, SCAT

  • Athletic Trainer
  • Shaw AFB, SC
National Provider Identifier
1295785855
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
817 Issued in SC
Practice address
716 Fighting Falcon St BLDG 1606
Shawafb, SC 29152
Phone
(803) 895-1867
NPI assigned
May 12, 2006
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 817 SC Primary
Athletic Trainer 2255A2300X AT0000000925 TN

Addresses

Primary practice location

716 Fighting Falcon St BLDG 1606
Shawafb, SC 29152

Mailing address

1970 Sam Gillespie Blvd
Sumter, SC 29154
Phone (803) 369-0442

Other names 1

  • Ms. Caroline Ligon Spearman Former name

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

State licenses

LicenseStateTypeSpecialty
817SCMDPhysical Therapy Assistant
AT0000000925TNMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1295785855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 SAM GILLESPIE BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29154",
            "telephone_number": "803-369-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 FIGHTING FALCON ST BLDG 1606",
            "city": "SHAWAFB",
            "state": "SC",
            "postal_code": "29152",
            "telephone_number": "803-895-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "CAROLINE",
        "middle_name": "LIGON",
        "name_prefix": "Mrs.",
        "credential": "ATC, SCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "817",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "AT0000000925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "SPEARMAN",
            "middle_name": "LIGON",
            "prefix": "MS.",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shaw AFB, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.