Mary Elizabeth Norman, ATC, LAT, CHES, BLSI

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1437 Issued in SC

Practice address

1220 W Wheeler Pkwy Ste B
Augusta, GA 30909-1895

Phone

(706) 721-5249

Fax

(706) 446-4951

NPI assigned

Jul 17, 2014

Sex

Female

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

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1407263791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 DUBLIN DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309069596",
            "telephone_number": "864-314-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY STE B",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091895",
            "telephone_number": "706-721-5249",
            "fax_number": "706-446-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "ATC, LAT, CHES, BLSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennelle Norem
• Ardra Norman, LCSW
• Ashley Diana Norman, M.D.
• Kelly P Norman, M.D.
• Kristi Thomas Norman, CPNP-PC
• Patrick Norman
• Sara Norman
• Christopher Michael Norris, LPC, CAC II
• Craig Norris, PA - C
• Lakecha Norris

• Athletic Trainer in Augusta, GA
• Providers in Augusta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.