Individual provider Active NPI

Allison Conway Palmer, MS, LAT, ATC

  • Athletic Trainer
  • Athens, GA
National Provider Identifier
1891200127
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT003410 Issued in GA
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

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
AL4558FLMDAthletic Trainer
AT003410GAMDAthletic 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.

Verify at the official NPI Registry.