Active NPI
Paige Smith Doherty, LAT, ATC
- Athletic Trainer
- Warner Robins, GA
National Provider Identifier
1669959722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-3866
- Practice address
- 200 Lasso Dr
Warner Robins, GA 31088-6648 - Phone
- (478) 542-4918
- NPI assigned
- Jul 22, 2018
- Sex
- Female
- 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 | LAT-3866 | NC | Primary |
Addresses
Primary practice location
200 Lasso Dr
Warner Robins, GA 31088-6648
Mailing address
1787 Pipers Ridge Cir NW
Conover, NC 28613-8096
Phone (336) 953-4072
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 |
|---|---|---|---|
| LAT-3866 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1669959722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1787 PIPERS RIDGE CIR NW",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138096",
"telephone_number": "336-953-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 LASSO DR",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310886648",
"telephone_number": "478-542-4918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "PAIGE",
"middle_name": "SMITH",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-22",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-3866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.