Active NPI
Nayonda Teemer Gibson, ATC, LAT
- Athletic Trainer
- Leesburg, GA
National Provider Identifier
1740790922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001729
- Practice address
- 247 Mayfield Dr
Leesburg, GA 31763-4970 - Phone
- (229) 669-1744
- NPI assigned
- Oct 2, 2017
- 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 | AT001729 | GA | Primary |
Addresses
Primary practice location
247 Mayfield Dr
Leesburg, GA 31763-4970
Mailing address
247 Mayfield Dr
Leesburg, GA 31763-4970
Phone (229) 669-1744
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 |
|---|---|---|---|
| AT001729 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1740790922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 MAYFIELD DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634970",
"telephone_number": "229-669-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 MAYFIELD DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317634970",
"telephone_number": "229-669-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "NAYONDA",
"middle_name": "TEEMER",
"name_prefix": "Mrs.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, GA
- Kemberley La'Toya Floyd, PHARM.D.
- Jamie Perrella Flynn-Pressley, LPC
- John S Gadalla, DMD
- Gateway Medspa LLC Dba Dana (Dana Inc.)
- Georgia CVS Pharmacy, LLC (CVS Pharmacy #02593)
- Amy Elaine Giles, CCC-SLP
- Hannah Elizabeth Gilmore, PHARM.D.
- Samrajya L.K. Gogineni, M.D.
- Eric Scott Gordon, O.D.
- Lavenice J Grace
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.