Stacey Denise Lampkin, MAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003231 Issued in GA

Practice address

1220 W Wheeler Pkwy
Augusta, GA 30909-6625

Phone

(706) 869-1515

NPI assigned

Apr 28, 2021

Sex

Female

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

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1669055638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 THAMES PL",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308157176",
            "telephone_number": "706-830-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096625",
            "telephone_number": "706-869-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPKIN",
        "first_name": "STACEY",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Vahid Lami, MD
• Sameh Z. Lamiy, MD
• Erica Lamoureux
• Harrison Lamp, RN
• Erica Lynn Lampkin
• Brian Lee Lancaster, ATC, LAT
• Talonda Landers
• Becca Trieu Landis, MD
• Debra Renee Landmann
• Regan Landoch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.