Michael Comeaux Jr., MS, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003623 Issued in GA

Practice address

Louisiana State University
Baton Rouge, LA 70803-0001

Phone

(225) 578-3202

NPI assigned

Aug 20, 2019

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1699322271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 S ACADIAN THRUWAY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOUISIANA STATE UNIVERSITY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708030001",
            "telephone_number": "225-578-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 Dw Brooks Drive",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306020001",
            "country_code": "US",
            "telephone_number": "706-542-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMEAUX",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Comeaux
• Bradley Comeaux, DDS
• Christopher Wade Comeaux
• Jennifer Comeaux, CRNA
• Jeremy Allen Comeaux Sr., M.D.
• Sacha Anne Comeaux, M.P.T.
• Sharniece Comeaux
• Tressa Comeaux, APRN, FNP-C
• Nia Comery
• Comfort of My Home Healthcare Services

• Athletic Trainer in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.