Marie Verrilli, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001641 Issued in GA

Practice address

625 Big Shanty Rd NW
Kennesaw, GA 30144-3646

Phone

(404) 785-5437

NPI assigned

Jul 9, 2025

Last updated

Jul 9, 2025By the provider in NPPES

Sex

Female

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": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1831080837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 BLACKBERRY RUN TRL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301322130",
            "telephone_number": "208-761-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BIG SHANTY RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443646",
            "telephone_number": "404-785-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRILLI",
        "first_name": "MARIE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mridula Vinjamuri, M.D.
• Farzana A. Virani, O.D.
• Visio Educational Consulting LLC
• Amalia Vlachos, MA CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.