Active NPI
Nicole McCarthan, ATC
- Athletic Trainer
- Duluth, GA
National Provider Identifier
1942466503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT001493
- Practice address
- 3636 Satellite Blvd
Duluth, GA 30096-4590 - Phone
- (770) 495-9100
- Fax
- (770) 495-7757
- NPI assigned
- Aug 4, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001493 | GA | Primary |
Addresses
Primary practice location
3636 Satellite Blvd
Duluth, GA 30096-4590
Mailing address
3636 Satellite Blvd
Duluth, GA 30096-4590
Phone (770) 495-9100
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 |
|---|---|---|---|
| AT001493 | GA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217808000000",
"number": "1942466503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 SATELLITE BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964590",
"telephone_number": "770-495-9100",
"fax_number": "770-495-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 SATELLITE BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964590",
"telephone_number": "770-495-9100",
"fax_number": "770-495-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHAN",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2008-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.