Richard Emory Stewart, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001498 Issued in GA

Practice address

150 Bobby Dodd Way NW
Atlanta, GA 30332-2500

Phone

(404) 894-2529

Fax

(404) 894-0695

NPI assigned

Dec 11, 2013

Sex

Male

Sole proprietor

Yes

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": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1811328222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 W VILLAGE WAY SE",
            "address_2": "UNIT 3106",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300809219",
            "telephone_number": "540-808-6567",
            "fax_number": "404-894-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BOBBY DODD WAY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303322500",
            "telephone_number": "404-894-2529",
            "fax_number": "404-894-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RICHARD",
        "middle_name": "EMORY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Stewart
• Michael B. Stewart, D.D.S.
• Nicky Antwa Stewart, NURSE TECH
• R. Dugald Stewart, PH.D.
• Rachel Mary Stewart
• Rodrick Stewart, D.O
• Samuel Stewart, PAAA
• Sarah Stewart
• Shakeria L Stewart
• Tylise L Stewart, NP

• Athletic Trainer in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.