Individual provider Active NPI

Tammy Carter, ATC

  • Athletic Trainer
  • Parris Island, SC
National Provider Identifier
1336518232
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1290 Issued in SC
Practice address
670 Boulevard de France
Smart Clinic
Parris Island, SC 29905
Phone
(843) 228-2505
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1290 SC Primary

Addresses

Primary practice location

670 Boulevard de France
Smart Clinic
Parris Island, SC 29905

Mailing address

670 Boulevard de France
Smart Clinic
Parris Island, SC 29905

Other practice location 1

11000 Dixie Rd
ATTN: Athletic Trainer
Columbia, SC 29207-5020
Phone (803) 751-0859

Other names 1

  • Tammy Collins 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
1290SCMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1336518232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 BOULEVARD DE FRANCE",
            "address_2": "SMART CLINIC",
            "city": "PARRIS ISLAND",
            "state": "SC",
            "postal_code": "29905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 BOULEVARD DE FRANCE",
            "address_2": "SMART CLINIC",
            "city": "PARRIS ISLAND",
            "state": "SC",
            "postal_code": "29905",
            "telephone_number": "843-228-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 Dixie Rd",
            "address_2": "ATTN: Athletic Trainer",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292075020",
            "country_code": "US",
            "telephone_number": "803-751-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TAMMY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "COLLINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parris Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.