Individual provider Active NPI

Roy Christopher Junkins, L/ATC, MS, PTA

  • Athletic Trainer
  • Easley, SC
National Provider Identifier
1336625722
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
387 Issued in SC
Practice address
227 S Pendleton St Ste B
Easley, SC 29640-3047
Phone
(864) 855-7030
Fax
(864) 855-7019
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 387 SC Primary

Addresses

Primary practice location

227 S Pendleton St Ste B
Easley, SC 29640-3047

Mailing address

319 Cooper LN
Easley, SC 29642-8211
Phone (864) 320-1915

Other names 1

  • Roy Christopher Junkins Professional 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
387SCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1336625722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 COOPER LN",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428211",
            "telephone_number": "864-320-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKINS",
        "first_name": "ROY",
        "middle_name": "CHRISTOPHER",
        "credential": "L/ATC, MS, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROY",
            "last_name": "JUNKINS",
            "middle_name": "CHRISTOPHER",
            "credential": "L/ATC, MS, PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.