Elizabeth Jane Andrews, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003847 Issued in GA

Practice address

1332 Southern Dr
Statesboro, GA 30460-1360

Phone

(912) 478-5436

NPI assigned

Mar 17, 2022

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1669120705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 BON REA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 SOUTHERN DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304601360",
            "telephone_number": "912-478-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae F Anderson, WHNP
• Mark Anderson, NP-C
• Vermecia Jelic Anderson
• Teresa A. Andres, M.ED, LPC
• Andrew V Cichelli MD Inc (East Georgia Pulmonary & Sleep Disorder)
• Misty L Andrews, LPC
• Emily A Andrychowski, MT
• Sarah Anklam
• Ankle and Foot Assoc, LLC
• Applecare LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.