DERRICK JACKSON THOMAS (NPI# 1033610415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033610415 |
Entity Type | Individual |
Full Name | DERRICK JACKSON THOMAS |
Credential | ATC |
Practice Address |
1 Bonnybridge Rd Savannah GA 31407-1312 |
Mailing Address |
1 Bonnybridge Rd Port Wentworth GA 31407-1312 |
Practice Telephone | 7047969595 |
Mailing Telephone | 7047969595 |
Enumeration Date | 2018-02-22 |
Last Update Date | 2018-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003116 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427593201 | Derrick Thomas | Counselor | 11502 Big Mesa Dr, San Antonio, TX 78245-2257 | 2017-01-03 |
1851834089 | Derrick D Thomas | Counselor | 21120 Fuller Ave, Euclid, OH 44123-2710 | 2016-11-19 |
1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
1114482361 | Derrick Maurice Thomas | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2019-02-01 |
1437552601 | Derrick Thomas | Physician Assistant | 22 Industrial Park Rd, Brookville, PA 15825-7228 | 2014-10-02 |
Street Address |
1 BONNYBRIDGE RD |
City | SAVANNAH |
State | GA |
Zip Code | 31407-1312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295969228 | Kurt Singh Kang | Internal Medicine | 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 | 2009-05-05 |
1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
1861038044 | Mara Dawne Carson | Nurse Practitioner | 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 | 2019-11-21 |
1831620087 | Pharmdixon Consulting LLC | Pharmacy | 2155 Benton Blvd, 13203, Savannah, GA 31407-0491 | 2017-03-21 |
1043209240 | Westview Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2005-10-19 |
1922575679 | Pruitthealth - Seaside, LLC | Skilled Nursing Facility | 1000 Dorset Rd, Port Wentworth, GA 31407-1517 | 2018-10-31 |
1477060705 | Benjamin Lane Richey | Behavior Technician | 204 Turnberry St, Port Wentworth, GA 31407-1925 | 2018-01-09 |
1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
1699120410 | Dr Kenneith Durden Outreach | Counselor | 41 Moonlight Trl, Port Wentworth, GA 31407-3321 | 2016-04-29 |
1508405952 | Shannon Williams | Technician/Technologist | 34 Birch Cir, Port Wentworth, GA 31407-3376 | 2020-01-02 |
Find all providers in zip 31407 |
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 |
---|---|---|---|---|
1285243659 | Julie Landrigan | Specialist/Technologist | 2918 Fenwick Village Dr, Savannah, GA 31419-8474 | 2020-07-30 |
1710527973 | Lauren Paige Griggs | Specialist/Technologist | 5701 Garrard Ave, Savannah, GA 31405-2723 | 2020-01-15 |
1568933075 | Sean Langan | Specialist/Technologist | 1124 E Victory Dr Apt A, Savannah, GA 31404-4171 | 2018-12-09 |
1083194062 | Alexandrea Shumate | Specialist/Technologist | 19 Hawkhorn Ct, Savannah, GA 31407-3949 | 2018-08-18 |
1194188490 | Clinton Brif | Specialist/Technologist | 2415 Fenwick Village Dr, Savannah, GA 31419-8468 | 2016-04-04 |
1497145353 | Katy Ann Margeson | Specialist/Technologist | 9520 Ferguson Ave, Savannah, GA 31406-6332 | 2015-01-30 |
1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
1912102872 | Jenifer Ellen Roberts | Specialist/Technologist | 5616 La Roche Ave, Savannah, GA 31406-3115 | 2007-06-19 |
1477580405 | Jeremy Johnson | Specialist/Technologist | 4 Longwood Cir, Savannah, GA 31405-1014 | 2006-06-26 |
1306809835 | Brian S Tuten | Specialist/Technologist | 6502 Seawright Dr, Savannah, GA 31406-2752 | 2006-04-07 |
Find all providers in SAVANNAH |
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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.