Individual provider Active NPI

James Pierce Kegley III, LAT, ATC, NREMT

  • Athletic Trainer
  • Elkton, VA
National Provider Identifier
1619434776
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
0126003567 Issued in VA
Practice address
250 Eagle Rock Rd
Elkton, VA 22827-3276
Phone
(540) 298-7450
NPI assigned
Feb 25, 2019
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 0126003567 VA Primary

Addresses

Primary practice location

250 Eagle Rock Rd
Elkton, VA 22827-3276

Mailing address

615 E Spotswood Ave Apt 12
Elkton, VA 22827-1558
Phone (804) 572-4822

Other practice location 1

2509 Pleasant Run Dr
Harrisonburg, VA 22801-8720
Phone (540) 689-5500

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

State licenses

LicenseStateTypeSpecialty
AT03073SCMDAthletic Trainer
0126003567VAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1619434776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E SPOTSWOOD AVE APT 12",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228271558",
            "telephone_number": "804-572-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAGLE ROCK RD",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228273276",
            "telephone_number": "540-298-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2509 Pleasant Run Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228018720",
            "country_code": "US",
            "telephone_number": "540-689-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEGLEY",
        "first_name": "JAMES",
        "middle_name": "PIERCE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LAT, ATC, NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.