Active NPI
Timothy Aaron Ferguson
- Athletic Trainer
- Moncks Corner, SC
National Provider Identifier
1316679855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1019 Retreat Ave
Moncks Corner, SC 29461-8255 - Phone
- (843) 830-5920
- NPI assigned
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1019 Retreat Ave
Moncks Corner, SC 29461-8255
Mailing address
1019 Retreat Ave
Moncks Corner, SC 29461-8255
Phone (843) 830-5920
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1316679855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 RETREAT AVE",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618255",
"telephone_number": "843-830-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 RETREAT AVE",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618255",
"telephone_number": "843-830-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "TIMOTHY",
"middle_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moncks Corner, SC
- Family Dental Health Group LLC (Family Dental Health of Moncks Corner)
- Ashlyn Farwell, M.S., CF-SLP
- Mary Rutledge Faucette, PHD
- Mercedes Fehring
- Cori-Ann Feiner-Escoto, PSY.D.
- Fetter Health Care Network, Inc (Franklin C Fetter Pediatrics)
- Fetter Health Care Network, Inc. (Berkeley Community Mental Health Center)
- Fetter Health Care Network, Inc. (R.D. Gibbs Family Health Center)
- Cindy L Fiacco, PA
- Benjamin B Fishbein
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.