Andrea M Blair, MS, LAT,ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT004493 Issued in GA

Practice address

5665 New Forsyth Rd
Macon, GA 31210-5770

Phone

(478) 238-5757

NPI assigned

Mar 17, 2026

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

Other names 1

• Andrea McCoy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1861340887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 IDLEWOOD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102946",
            "telephone_number": "678-227-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW FORSYTH RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105770",
            "telephone_number": "478-238-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS, LAT,ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT004493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MCCOY",
            "credential": "MS, LAT,ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine Black, MD
• Kathryn Corish Blackwell, OTR/L
• Robert Everard Blackwell, MD
• Kimathi Sipho Ricardo Blackwood, M.D.
• Wesley Lane Blackwood, M.D.
• Monica Blalock
• Aidan Elise Blanchard, PA
• Terin Blanchard, MD
• Gerardo Blanco Chacon, MD
• Holly Leigh Blanford, CNIM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.