Adison Lee South, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36003142A Issued in IN

Practice address

1800 Lincoln Ave
Evansville, IN 47722-1000

Phone

(812) 691-6903

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1831652247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 ROCKY PT",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123124",
            "telephone_number": "812-691-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477221000",
            "telephone_number": "812-691-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTH",
        "first_name": "ADISON",
        "middle_name": "LEE",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36003142A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "as732@evansville.edu",
            "affiliation": "N",
            "address_1": "1800 Lincoln Ave",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477221000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael T Sorg, R.PH.
• Brian Randall Sorge, M.D.
• Alexis Sosh, APRN, PMHNP-BC
• Shea N Souders, CRNA
• Soul Serenity Counseling LLC
• Terry A South, M.D.
• Kayla D Southard, NP
• Sommer Price Souther, MSN, RN, NNP-BC
• Southern Indiana Gastroenterology,LLC
• Southern Indiana Health Care Inc

• Athletic Trainer in Evansville, IN
• Providers in Evansville, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.