Active NPI
Cole Samuel Eakin, MATRN, ATC
- Athletic Trainer
- Statesboro, GA
National Provider Identifier
1831999119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL7022
- Practice address
- 1332 Southern Dr
Statesboro, GA 30460-1360 - Phone
- (912) 478-4636
- NPI assigned
- Mar 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | PENDING | GA | |
| Athletic Trainer | 2255A2300X | AL7022 | FL | Primary |
Addresses
Primary practice location
1332 Southern Dr
Statesboro, GA 30460-1360
Mailing address
130 Briarwood Rd # 130
Statesboro, GA 30458-2459
Phone (503) 333-6734
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 |
|---|---|---|---|
| PENDING | GA | MD | Rheumatology Physician |
| AL7022 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1831999119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 BRIARWOOD RD # 130",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304582459",
"telephone_number": "503-333-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 SOUTHERN DR",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304601360",
"telephone_number": "912-478-4636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAKIN",
"first_name": "COLE",
"middle_name": "SAMUEL",
"credential": "MATRN, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "PENDING",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL7022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
- Elizabeth Durst
- Michael D Dykes, MD
- Deborah Susan Dzurinko, MPT
- E Plus Statesboro Cancer Care, LLC (South Georgia Center for Cancer Care)
- Eagle Eye Care
- Ear, Nose, & Throat Associates of Savannah, PC
- Earsource Technologies LLC
- East Ga Regional Eye Center
- East Ga Regional Eye Center
- East Ga Specialty Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.