Active NPI
Eric Alexander Kure
- Athletic Trainer
- Rincon, GA
National Provider Identifier
1659919264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT003179
- Practice address
- 804 Towne Park Dr Ste 400
Rincon, GA 31326-5153 - Phone
- (912) 826-3797
- NPI assigned
- Dec 13, 2019
- Sex
- Male
- 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 | AT003179 | GA | Primary |
Addresses
Primary practice location
804 Towne Park Dr Ste 400
Rincon, GA 31326-5153
Mailing address
11900 White Bluff Rd Apt 1708
Savannah, GA 31419-1541
Phone (678) 849-2589
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT003179 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576195200000",
"number": "1659919264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 WHITE BLUFF RD APT 1708",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191541",
"telephone_number": "678-849-2589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 TOWNE PARK DR STE 400",
"city": "RINCON",
"state": "GA",
"postal_code": "313265153",
"telephone_number": "912-826-3797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURE",
"first_name": "ERIC",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-13",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT003179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rincon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.