Corey Joseph Carmody, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2010 Issued in AL

Practice address

392 S Donahue Dr
Auburn, AL 36849-5321

Phone

(334) 844-4750

NPI assigned

Aug 27, 2017

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2017.

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503792000000",
    "number": "1598282964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUNSET RD",
            "city": "NAHANT",
            "state": "MA",
            "postal_code": "019081232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 S DONAHUE DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368495321",
            "telephone_number": "334-844-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "COREY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-27",
        "last_updated": "2017-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Cannon, ATC
• Rebecca Grace Cannon, MS RDN
• Care Network of Alabama, Inc.
• Care Network of East Alabama, Inc.
• Lindsey Ellen Carlisle
• Jonathan Carpenter
• James L. Carroll, DDS
• Merri Lynn Carroll, MSN,FNP-C
• Patrick Carroll
• Katelyn Elizabeth Carswell

• All providers in Auburn, AL
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2017; 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.