Individual provider Active NPI

Trevor Dale Owens, ATHLETIC TRAINER

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Thomasville, GA
National Provider Identifier
1851175152
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
AT04698 Issued in GA
Practice address
4136 Summerhill Rd
Thomasville, GA 31757-0148
Phone
(229) 977-1412
NPI assigned
Aug 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X AT04698 GA Primary

Addresses

Primary practice location

4136 Summerhill Rd
Thomasville, GA 31757-0148

Mailing address

4136 Summerhill Rd
Thomasville, GA 31757-0148
Phone (229) 977-1412

Other practice location 1

5353 Reynolds St
Savannah, GA 31405-6005
Phone (912) 819-6000

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1851175152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4136 SUMMERHILL RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317570148",
            "telephone_number": "229-977-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4136 SUMMERHILL RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317570148",
            "telephone_number": "229-977-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5353 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056005",
            "country_code": "US",
            "telephone_number": "912-819-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TREVOR",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "ATHLETIC TRAINER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "AT04698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.