Active NPI
Dorothy Michaela Rollins, ATC
- Athletic Trainer
- Marietta, GA
National Provider Identifier
1760110795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT004219
- Practice address
- 1269 Barclay Cir SE
Marietta, GA 30060-2903 - Phone
- (770) 426-2770
- Fax
- (678) 322-1144
- NPI assigned
- Aug 9, 2022
- 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 | AT004219 | GA | Primary |
Addresses
Primary practice location
1269 Barclay Cir SE
Marietta, GA 30060-2903
Mailing address
2309 Woodlands Dr SE
Smyrna, GA 30080-2495
Phone (316) 734-9111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaela.rollins@life.edu | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| AT004219 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1760110795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2309 WOODLANDS DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802495",
"telephone_number": "316-734-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1269 BARCLAY CIR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300602903",
"telephone_number": "770-426-2770",
"fax_number": "678-322-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "DOROTHY",
"middle_name": "MICHAELA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT004219",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaela.rollins@life.edu",
"affiliation": "N",
"endpointDescription": "email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1269 Barclay Cir SE",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300602903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.