Chandler James Herman, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003133 Issued in GA

Practice address

590 Herty Dr.
Statesboro, GA 30458

Phone

(317) 374-1551

NPI assigned

Nov 2, 2017

Sex

Male

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1689186405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BRAMPTON AVE # 923",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580847",
            "telephone_number": "317-374-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 HERTY DR.",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "317-374-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "CHANDLER",
        "middle_name": "JAMES",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Hendrix
• Melissa A Hendrix, LPC, NCC
• Steven Ray Hendrix, CRNA
• Madonna Moore Henry, PA-C
• Stacia Herbert
• Jessica Hernandez
• Amanda Herrin, PHARM.D.
• Heather Sumner Herrin, FNP-BC
• Toni Lynn Herring, PA-C
• Marilyn Marie Herrington, CN0030036010

• 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 Nov 2, 2017; 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.