Devona Hollingsworth, LAT, ATC, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001491 Issued in GA

Practice address

120 Penney Rd
Forest Park, GA 30297-2027

Phone

(404) 362-6682

NPI assigned

Jan 23, 2014

Sex

Female

Sole proprietor

Yes

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": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1972926269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POSTMASTER DR UNIT 773",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532807",
            "telephone_number": "678-369-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PENNEY RD",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972027",
            "telephone_number": "404-362-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "DEVONA",
        "name_prefix": "Ms.",
        "credential": "LAT, ATC, CES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001491",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinath Has
• Healthfirst Rehab & Wellness
• Shonte Henderson, D.O.
• Doris Woodruff Hewitt, PH.D.
• Anthony Quinn Hodge
• Kristina Howell
• Paola Hoyo Figueroa, DC
• Niambi Ibim, OTR/L
• Integrated Health and Wellness Solutions
• Ips of Forest Park LLC

• Athletic Trainer in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.