Aubrey McCoy Baucom
Individual provider Active NPI Athletic Trainer · Athens, GA
NPI 1538092218 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1538092218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 390200000X (GA)
- Practice address
- 330 River Rd
Athens, GA 30602-1538 - Phone
- (706) 542-4378
- NPI assigned
- Jun 4, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 390200000X | GA | Yes |
Addresses
Primary practice location
330 River Rd
Athens, GA 30602-1538
Mailing address
1614 Red Barn Rd
Liberty, SC 29657-9606
Phone (843) 693-8723
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.