Active NPI
Allison Conway Palmer, MS, LAT, ATC
- Athletic Trainer
- Athens, GA
National Provider Identifier
1891200127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT003410
- Practice address
- 350 S Milledge Ave
Athens, GA 30605 - Phone
- (706) 621-9450
- NPI assigned
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- No
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 | AL4558 | FL | |
| Athletic Trainer | 2255A2300X | AT003410 | GA | Primary |
Addresses
Primary practice location
350 S Milledge Ave
Athens, GA 30605
Mailing address
1230B Boulevard
Athens, GA 30601-1754
Phone (706) 621-9450
Other practice location 1
1305 Jennings Mill Rd
Watkinsville, GA 30677-7238
Phone (706) 621-9450
Other names 1
- Allie Palmer
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL4558 | FL | MD | Athletic Trainer |
| AT003410 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1891200127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230B BOULEVARD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011754",
"telephone_number": "706-621-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S MILLEDGE AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "30605",
"telephone_number": "706-621-9450"
}
],
"practiceLocations": [
{
"address_1": "1305 Jennings Mill Rd",
"address_purpose": "LOCATION",
"city": "Watkinsville",
"state": "GA",
"postal_code": "306777238",
"country_code": "US",
"telephone_number": "706-621-9450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "ALLISON",
"middle_name": "CONWAY",
"credential": "MS, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-08",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL4558",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT003410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLIE",
"last_name": "PALMER",
"credential": "MS, LAT, ATC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.