Active NPI
Laura Celeste Shelton, MA, ATC
- Athletic Trainer
- Macon, GA
National Provider Identifier
1487933214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001823
- Practice address
- 5243 Riverside Dr Apt 1113
Macon, GA 31210-0881 - Phone
- (229) 563-2420
- NPI assigned
- Aug 10, 2011
- 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 | AT001823 | GA | Primary |
Addresses
Primary practice location
5243 Riverside Dr Apt 1113
Macon, GA 31210-0881
Mailing address
5243 Riverside Dr. Apt 1113
Macon, GA 31210
Phone (229) 563-2420
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001823 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312934400000",
"number": "1487933214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5243 RIVERSIDE DR. APT 1113",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "229-563-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5243 RIVERSIDE DR APT 1113",
"city": "MACON",
"state": "GA",
"postal_code": "312100881",
"telephone_number": "229-563-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "LAURA",
"middle_name": "CELESTE",
"credential": "MA, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2011-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.