John Lafayette Gaines, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1021 Issued in AL

Practice address

1794 S Bethel Rd Ste C
Decatur, AL 35603-5410

Phone

(254) 391-4223

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1962477869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PARTRIDGE RD",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356036018",
            "telephone_number": "325-439-1422",
            "fax_number": "254-442-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 S BETHEL RD STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356035410",
            "telephone_number": "254-391-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "JOHN",
        "middle_name": "LAFAYETTE",
        "name_prefix": "Mr.",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1903",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Francis, MD
• Erin Marie Friend, DPT
• Bridget Fulks, LPTA
• G. William Manifold, M.D., P.C.
• Mackenzie Gaddy, PHARMD
• Antonio Gales, D.D.S.
• James F Gamble, MD
• Amon Bailey Gammill, LPC
• G Dwayne Gann, R,MR
• Robert Gann

• Athletic Trainer in Decatur, AL
• Providers in Decatur, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.