Mallori Loughry, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002401 Issued in GA

Practice address

5065 Moye Rd # 3465
Fort Benning, GA 31905-5915

Phone

(706) 887-1182

NPI assigned

Feb 22, 2016

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1982063749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6233 CHARING DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093733",
            "telephone_number": "706-887-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 MOYE RD # 3465",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055915",
            "telephone_number": "706-887-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHRY",
        "first_name": "MALLORI",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Ruth Leslie, CPNP
• Stephenie Renee Lister, RN
• Tida Liu, DMD
• Kendall Elise Loch, D.D.S.
• Valencia Wilson Lockhart, PA-C
• Brooke Ann Love, PA-C
• Dylan Love, DDS
• Rubi Lozano
• Philipp Luckowski, FNP-C
• Emad Madha, MD

• Athletic Trainer in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.