Mitchell McCann, ATC, LAT, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

10401253-4810 Issued in UT

Practice address

1 Selig Cir
Athens, GA 30602-1501

Phone

(706) 542-1515

NPI assigned

Jul 7, 2016

Sex

Male

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1992157499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 MAPLE CREEK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527113",
            "telephone_number": "770-238-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SELIG CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021501",
            "telephone_number": "706-542-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MITCHELL",
        "credential": "ATC, LAT, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "10401253-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Meghan McAfee, DNP
• Alan McArthur, LCSW
• Christen McCabe, FNP
• William McCain, PTA
• Karen McCall
• Renata McCann, P.T.A.
• Rebecca McCants, SLP
• Victoria McCarthy, PHARMD
• Lori McClain
• Fletcher K. McClelland, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.