Chuck Conner, L.A.T., A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT000506 Issued in GA

Practice address

1500 N Patterson St
Valdosta State University, Dept. Kspe
Valdosta, GA 31698-0100

Phone

(229) 333-5354

NPI assigned

Jan 16, 2007

Sex

Male

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

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.

• Valdosta State University

  • Athletic Trainer
  • Valdosta, GA
  • NPI 1578117388
  NPD (past)
• Valdosta State University

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Valdosta, GA
  • NPI 1962787804

  Athletic Trainer

  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508917360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 FINDLEY CHASE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056528",
            "telephone_number": "229-244-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PATTERSON ST",
            "address_2": "VALDOSTA STATE UNIVERSITY, DEPT. KSPE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316980100",
            "telephone_number": "229-333-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "CHUCK",
        "name_prefix": "Mr.",
        "credential": "L.A.T., A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT000506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nebel Comparato, AGNP
• Compass 4K Enterprise LLC
• Compass Behavioral & Developmental Consultants LLC
• Laura Braswell Conger
• Etrenda Connell, RN
• Anne Conrad, OTRL
• Mary T. Consolini, CCC-A/SLP
• Constant Care of Valdosta
• Constant Care of Valdosta LLC
• Rita Drake Cook, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.