Active NPI
Robert Ragsdale III, ATC
- Athletic Trainer
- Batesville, MS
National Provider Identifier
1376187864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT0790
- Practice address
- 601 Tiger Dr
Batesville, MS 38606-1946 - Phone
- (662) 563-4756
- NPI assigned
- Oct 29, 2019
- Last updated
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | AT0790 | MS | Primary |
Addresses
Primary practice location
601 Tiger Dr
Batesville, MS 38606-1946
Mailing address
171 Lakewood Dr Ste 2
Batesville, MS 38606-3017
Phone (731) 415-0538
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT0790 | MS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572307200000",
"number": "1376187864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 LAKEWOOD DR STE 2",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063017",
"telephone_number": "731-415-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 TIGER DR",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386061946",
"telephone_number": "662-563-4756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGSDALE",
"first_name": "ROBERT",
"name_suffix": "III",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": "AT0790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.