MACKENZIE LEIGH HAGAN


Address: 335 Broad St Apt B12, Augusta, GA 30901-1541
Phone: 9202512493

MACKENZIE LEIGH HAGAN (NPI# 1033587639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033587639
Entity Type Individual
Full Name MACKENZIE LEIGH HAGAN
Credential ATC
Practice Address 335 Broad St Apt B12
Augusta
GA 30901-1541
Practice Telephone 9202512493
Enumeration Date 2015-09-13
Last Update Date 2016-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 335 BROAD ST APT B12
City AUGUSTA
State GA
Zip Code 30901-1541

Providers in the same zip code

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1477019925 Courtney Erin Fairchild Physician Assistant 1101 15th Street, Pa-224, Augusta, GA 30901 2019-02-20
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1235684192 Heather Raborn Allergy & Immunology 1350 Walton Way Ste 5100, Augusta, GA 30901 2016-08-22
1457690745 Rehab Without Walls, Inc. In Home Supportive Care 820 St Sebastin Way Se, Augusta, GA 30901 2013-02-06
1861788051 Christina Weidner Belcher Physical Therapist 1246 Pine St, Augusta, GA 30901 2011-06-25
1750695979 C H Martin Company Durable Medical Equipment & Medical Supplies 1456 Walton Way Suite B, Augusta, GA 30901 2010-07-29
1366773905 Csb of East Central Ga Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4027 Wheeler Rd, Augusta, GA 30901 2010-01-21
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1760615280 Absolute Family PCh Point of Service 2035 Old Savannah Rd., Augusta, GA 30901 2009-09-01
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588276943 Jaden T Harris Specialist/Technologist 2205 Moncrieff St, Augusta, GA 30906-8905 2020-08-18
1033674510 Dorian Kendall Specialist/Technologist 3386 Monte Carlo Dr, Augusta, GA 30906-8019 2019-02-08
1740769132 Kristina Poss Specialist/Technologist 1220 W Wheeler Pkwy Ste B, Augusta, GA 30909-1895 2018-08-07
1346751781 Johnathan Simmons Specialist/Technologist 3109 Wrightsboro Rd Ste 214, Augusta, GA 30909-3049 2017-10-12
1659815215 Marquise Sims Specialist/Technologist 1701 15th St, Augusta, GA 30901-3931 2016-12-15
1255782728 Lauren Montebell Specialist/Technologist 2737 Huntcliffe Dr, Augusta, GA 30909-0662 2016-06-27
1689020208 Alyse Depaola Specialist/Technologist 3109 Wrightsboro Rd, Augusta, GA 30909-3049 2016-05-12
1720427263 Jessica Kirby Specialist/Technologist 9018 Baker Ct, Augusta, GA 30909-2834 2013-06-18
1255696399 Jennifer Ashley London Specialist/Technologist 812 Cross Court Dr, Augusta, GA 30909-2776 2012-07-04
1225361033 Michael Rath Specialist/Technologist 11 Augusta Hill Rd, Augusta, NJ 07822-2015 2009-09-10
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Competitor

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City AUGUSTA
Zip Code 30901

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Dataset Information

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.

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