Malaiyah Campbell, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2954 Issued in AL

Practice address

9375 Conway Dr BLDG 3425
Columbus, GA 31905-5920

Phone

(706) 544-8732

NPI assigned

Jan 6, 2025

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1952110751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 W LONGLEAF DR APT 1304",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368327405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 CONWAY DR BLDG 3425",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319055920",
            "telephone_number": "706-544-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MALAIYAH",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antwoinne Campbell, BS
• Breanna Campbell, LPN
• Gabrelle Campbell
• Glynnis Campbell
• Lovietta Lyn Campbell, LMSW
• Maria Tealina Campbell
• Sanaia D Campbell
• Stacy Campbell
• Robert Cancino III, RBT
• Candler Road Dental, PC (Franklin Dental & Braces)

• Athletic Trainer in Columbus, GA
• Providers in Columbus, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.