James Berry
Individual provider Active NPI Athletic Trainer · Savannah, GA
NPI 1821875261 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1821875261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT002573 (GA)
- Practice address
- 4425 Paulsen St
Savannah, GA 31405-3662 - Phone
- (912) 355-6615
- NPI assigned
- Sep 11, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT002573 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT002573 | GA | Yes |
Addresses
Primary practice location
4425 Paulsen St
Savannah, GA 31405-3662
Mailing address
316 Ogeechee Dr
Richmond Hill, GA 31324-4767
Phone (912) 257-9164
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.