DR. THOMAS ANDREW BUCKLEY (NPI# 1194924449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194924449 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ANDREW BUCKLEY |
| Credential | ED.D., ATC |
| Practice Address |
Georgia Southern University Health & Kinesiology Statesboro GA 30460-0001 |
| Mailing Address |
Georgia Southern University Health & Kinesiology - P.o. Box 8076 Statesboro GA 30460-8076 |
| Practice Telephone | 9126815268 |
| Practice Fax Number | 9126810381 |
| Mailing Telephone | 9126815268 |
| Mailing Fax Number | 9126810381 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001415 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780786202 | Thomas Joseph Buckley | Social Worker | 1229 37th St Nw, Washington, DC 20007-2608 | 2006-09-04 |
| 1356341895 | Thomas Edward Buckley | Pharmacist | 209 New Rd, Avon, CT 06001-3163 | 2005-07-27 |
| 1508194408 | Thomas Buckley | Case Manager/Care Coordinator | 605 W Olympic Blvd Ste 600, Los Angeles, CA 90015-1475 | 2009-12-03 |
| 1588701726 | Thomas Buckley | Psychiatry & Neurology | 18 County Center Dr, Oroville, CA 95965-3317 | 2007-01-30 |
| 1558388090 | Thomas M Buckley | Urology | 330 Orchard St, Suite 164, New Haven, CT 06511-4417 | 2006-07-17 |
| 1750312443 | Thomas Buckley | Emergency Medicine | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2006-07-05 |
| Street Address |
GEORGIA SOUTHERN UNIVERSITY HEALTH & KINESIOLOGY |
| City | STATESBORO |
| State | GA |
| Zip Code | 30460-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760589683 | Andrea Elizabeth Bethel | Optometrist | 984 Plant Dr, Statesboro, GA 30460 | 2006-09-20 |
| 1699140855 | Amy Luna | Psychologist | 788 Forest Dr, Statesboro, GA 30460-0001 | 2015-12-14 |
| 1437559333 | Catherine Mcculley | Student in an Organized Health Care Education/Training Program | 590 Herty Dr, Statesboro, GA 30460-0001 | 2014-08-27 |
| 1851621080 | Shannon Kay Salter Fussell | Psychologist | Forest Dr, Counseling and Career Development Center, Statesboro, GA 30460-0001 | 2010-01-11 |
| 1255575890 | Georgia Southern University School of Nursing Community Nursing Center | Clinic/Center | 250 Forrest Dr, Rm# 1004, Statesboro, GA 30460-0001 | 2009-04-27 |
| 1831310721 | Brant Douglas Berkstresser | Specialist/Technologist | 50 Herty Dr, Hanner Fieldhouse, Georgia Southern University, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1376764340 | Brandy Anne Petty | Physical Medicine & Rehabilitation | Georgia Southern University Hanner Fieldhouse, Herty Drive, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1518010230 | Constance E Morgan | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1720187602 | Forest Heights Phcy Inc | Pharmacy | Hlth Svcs Bldg, Watson Hall, Statesboro, GA 30460-0001 | 2006-09-21 |
| Find all providers in zip 30460 | ||||
| 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 |
|---|---|---|---|---|
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1285269662 | Jack Reynolds Hall IIi | Specialist/Technologist | 6339 Middle Ground Rd, Statesboro, GA 30461-8434 | 2020-03-06 |
| 1407404510 | Kennisha Shantell Wilson | Specialist/Technologist | 831 S Main St Apt 1417, Statesboro, GA 30458-3464 | 2019-09-01 |
| 1043863673 | Wendy Deal | Specialist/Technologist | 2000 Stambuk Ln, Statesboro, GA 30458-2583 | 2019-07-23 |
| 1831673284 | Claudia Marie Simpson | Specialist/Technologist | 130 Lanier Dr Apt 1118, Statesboro, GA 30458-8030 | 2018-09-21 |
| 1114401429 | Kayleigh Heather Stevenson | Specialist/Technologist | 350 Rucker Ln Unit 118, Statesboro, GA 30458-3241 | 2018-09-21 |
| 1548741622 | Kiana Marie Young | Specialist/Technologist | 130 Lanier Dr Apt 132, Statesboro, GA 30458-8006 | 2018-08-27 |
| 1073094173 | Cyntoria De'asia Thomas | Specialist/Technologist | 1400 Statesboro Place Cir Apt Cc559, Statesboro, GA 30458-0232 | 2018-08-27 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1689154635 | Lauren White | Specialist/Technologist | 2000 Stambuk Ln Apt 931, Statesboro, GA 30458-0218 | 2018-08-20 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30460 |
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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.