Active NPI
Mia Troyer, MS, LAT, ATC, NREMT
- Athletic Trainer
- Athens, GA
National Provider Identifier
1417647702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT004643
- Practice address
- 1281 Spartan LN
Athens, GA 30606-5321 - Phone
- (706) 549-9225
- NPI assigned
- May 10, 2023
- Sex
- Female
- 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 | AT004643 | GA | Primary |
Addresses
Primary practice location
1281 Spartan LN
Athens, GA 30606-5321
Mailing address
125 Jennings Mill Pkwy Apt 9211
Athens, GA 30606-7245
Phone (214) 693-1154
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000039494209 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786147200000",
"number": "1417647702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 JENNINGS MILL PKWY APT 9211",
"city": "ATHENS",
"state": "GA",
"postal_code": "306067245",
"telephone_number": "214-693-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 SPARTAN LN",
"city": "ATHENS",
"state": "GA",
"postal_code": "306065321",
"telephone_number": "706-549-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROYER",
"first_name": "MIA",
"credential": "MS, LAT, ATC, NREMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2026-08-08",
"certification_date": "2026-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT004643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.