Aaron Samuel Weidman, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002228 Issued in GA

Practice address

1820 Highway 20 SE Ste 146
Conyers, GA 30013-2076

Phone

(770) 929-8872

Fax

(770) 929-8890

NPI assigned

Apr 11, 2013

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1184924854
  NPD (past)
• Independent Physical Therapy of Georgia , LLC

  • Physical Therapist
  • Dalton, GA
  • NPI 1003868225
  NPD (past)

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1407299258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 HIGHWAY 20 SE STE 146",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132076",
            "telephone_number": "770-929-8872",
            "fax_number": "770-929-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "AARON",
        "middle_name": "SAMUEL",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nguyen Watson, DO
• Tyrik Devon Weaver, BACHELORS
• Bobbi Webb, PA
• Julie Ann Webb
• Miles Chia-Hung Wei, MD
• Matthew Scott Weintraub, DPM
• Karen Lynne Weiss-Schorr, M.D.
• Makenzie Welch
• Wellbrook Endoscopy Center, LLC
• Makayla Wellington, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.