JOSEPH SAM HADAWAY (NPI# 1013134816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013134816 |
| Entity Type | Individual |
| Full Name | JOSEPH SAM HADAWAY |
| Credential | ATC |
| Practice Address |
4660 Riverside Park Blvd Macon GA 31210-1395 |
| Mailing Address |
120 Osigian Blvd # B Suite 100 Warner Robins GA 31088-7880 |
| Practice Telephone | 4784740240 |
| Practice Fax Number | 4784751340 |
| Mailing Telephone | 4789535358 |
| Mailing Fax Number | 4789535340 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001243 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4660 RIVERSIDE PARK BLVD |
| City | MACON |
| State | GA |
| Zip Code | 31210-1395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038635 | Middle Georgia Anesthesiology Services Inc. | Nurse Anesthetist, Certified Registered | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2006-01-23 |
| 1699327791 | Maria Hicks Carter | Nurse Practitioner | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2019-07-10 |
| 1235791146 | Jessi Lalena Hammond | Nurse Practitioner | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2019-07-01 |
| 1417412032 | Shae Horsting Stephens | Nurse Practitioner | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2019-02-07 |
| 1558883637 | Christina Ashley Peppers | Nurse Practitioner | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2017-07-11 |
| 1811397037 | Rebecca Ewing | Specialist/Technologist | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2014-08-25 |
| 1104111590 | Kevin Emmanual Moore | Podiatrist | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2011-06-14 |
| 1013134824 | The Athletic Therapy & Rehab Institute (atari) | Specialist/Technologist | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2007-04-20 |
| 1679790844 | Frank Heath Mills | Specialist/Technologist | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2007-04-19 |
| 1467679621 | Brian J. Ross | Physical Therapist | 4660 Riverside Park Blvd, Macon, GA 31210-1395 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004693 | Andrew Jeremy Mariscal | Specialist/Technologist | 1045 Ashford Chase Ct, Macon, GA 31210-8027 | 2020-02-07 |
| 1558993535 | Kathryn E Curtin | Specialist/Technologist | 4150 Arkwright Rd Apt 60, Macon, GA 31210-1727 | 2020-02-07 |
| 1316583644 | Jazmine Nichole Washington | Specialist/Technologist | 3960 Dorothy Dr, Macon, GA 31217-5426 | 2019-11-21 |
| 1336701325 | Marissa Ashley Hatem | Specialist/Technologist | 296 Orange St Apt 5, Macon, GA 31201-1688 | 2019-07-01 |
| 1043794258 | Hunter Leigh Martin | Specialist/Technologist | 127 Saint Croix Dr, Macon, GA 31210-8605 | 2018-09-24 |
| 1093227282 | Peyton Kayley M'lyn Braunstein | Specialist/Technologist | 233 Chadwick Cir, Macon, GA 31210-8836 | 2017-10-29 |
| 1164898771 | Stephanie Luecke Schneider | Specialist/Technologist | 1111 Valley View Ct, Macon, MO 63552-2128 | 2015-08-18 |
| 1124409883 | Ryan Stuart | Specialist/Technologist | 1300 Coleman Ave, Macon, GA 31207-4642 | 2015-06-17 |
| 1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
| 1205236635 | Amanda Windon | Specialist/Technologist | 851 Orange St, Macon, GA 31201-2164 | 2014-09-04 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.