Gregory Alan Collins, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0083 Issued in NC

Practice address

1834 Wake Forest Dr
Reynolds Gym RM 106
Winston Salem, NC 27109-6000

Phone

(336) 758-5620

Fax

(336) 758-6149

NPI assigned

Aug 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1376929075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7329",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271096231",
            "telephone_number": "336-758-5620",
            "fax_number": "336-758-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 WAKE FOREST DR",
            "address_2": "REYNOLDS GYM RM 106",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271096000",
            "telephone_number": "336-758-5620",
            "fax_number": "336-758-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "0083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Yarbenet Collins, PSYCHOTHERAPIST LICE
• Cody James Collins
• Daniel Leo Collins, M.D.
• David Dutrow Collins, M.D.
• Emily Grace Collins
• Julie Marie Collins, LPCA, NCC
• Laura Beaumont Collins, CRT
• Margaret Jean Collins, CRNA
• Norma Sue Collins, LCSW
• Steven Collins, M.D.

• Athletic Trainer in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.