Active NPI
John William Elliott-Gower, ATC, LAT
- Athletic Trainer
- Columbus, GA
National Provider Identifier
1932688199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2030
- Practice address
- 6262 Veterans Pkwy
Columbus, GA 31909-3540 - Phone
- (706) 324-6661
- NPI assigned
- Aug 8, 2018
- Last updated
- Aug 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 2030 | AL | Primary |
Addresses
Primary practice location
6262 Veterans Pkwy
Columbus, GA 31909-3540
Mailing address
185 Hillcrest Ave
Athens, GA 30606-2943
Phone (706) 248-3208
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 |
|---|---|---|---|
| 2030 | AL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1932688199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 HILLCREST AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062943",
"telephone_number": "706-248-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 VETERANS PKWY",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093540",
"telephone_number": "706-324-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT-GOWER",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "2030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.