Active NPI
Katy Ann Ferguson, MS, LAT, ATC
- Athletic Trainer
- Savannah, GA
National Provider Identifier
1497145353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001701
- Practice address
- 9520 Ferguson Ave
Savannah, GA 31406-6332 - Phone
- (717) 448-6254
- NPI assigned
- Jan 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 | AT001701 | GA | Primary |
Addresses
Primary practice location
9520 Ferguson Ave
Savannah, GA 31406-6332
Mailing address
C8427 Ardeness St
Fort Bragg, NC 28310-0001
Phone (717) 448-6254
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 |
|---|---|---|---|
| AT001701 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1497145353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C8427 ARDENESS ST",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "717-448-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9520 FERGUSON AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314066332",
"telephone_number": "717-448-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "KATY",
"middle_name": "ANN",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-30",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.