Active NPI
Asa Ackerson
- Athletic Trainer
- Lexington, SC
National Provider Identifier
1912262122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1351
- Practice address
- 104 Saluda Pointe Dr
Lexington, SC 29072-7295 - Phone
- (803) 227-8000
- NPI assigned
- Jul 13, 2012
- Last updated
- Jul 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1351 | SC | Primary |
Addresses
Primary practice location
104 Saluda Pointe Dr
Lexington, SC 29072-7295
Mailing address
104 Saluda Pointe Dr
Lexington, SC 29072-7295
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 |
|---|---|---|---|
| 1351 | SC | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1912262122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SALUDA POINTE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 SALUDA POINTE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290727295",
"telephone_number": "803-227-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERSON",
"first_name": "ASA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "1351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
- Abc Applied Interventions and Supports
- Lucas David Abney, DPT
- Access Community Rehabilitative Behavioral Health Services (Access Community Center)
- Rahjon Damien Acey, MSW
- Kathryn Inabinett Ackerman, RDH
- Active SC One, Inc. (Active Home Care SC)
- Katie Acton, B.S., SCAT, ATC
- Richard L. Acton, MSW
- D'Nita Artense Adams, RN
- Jeannie Wyatt Adams, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.