Lundon Kay Addison, LAT, ATC
Individual provider Active NPI Athletic Trainer · Mt. Airy, GA
NPI 1972028561 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1972028561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT003332 (GA)
- Practice address
- 2059 Old Hwy 197 S
Mt. Airy, GA 30563 - Phone
- (706) 778-7161
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT003332 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT003332 | GA | Yes |
Addresses
Primary practice location
2059 Old Hwy 197 S
Mt. Airy, GA 30563
Mailing address
2059 Old Hwy 197 S
Mt. Airy, GA 30563
Phone (470) 246-7680
Other practice location 1
409 Newsome St
Winnsboro, TX 75494-3135
Phone (470) 426-7680
Other practice location 2
1 College St
Young Harris, GA 30582-4137
Phone (470) 246-7680
Other names
- Lundon Kay Edwards
Other providers in Mt. Airy, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.