BENJAMIN SWAFFORD (NPI# 1215330279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215330279 |
Entity Type | Individual |
Full Name | BENJAMIN SWAFFORD |
Practice Address |
159 Trojan Way Douglas GA 31533-8263 |
Mailing Address |
1691 Curtis Vickers Rd Ambrose GA 31512-3022 |
Practice Telephone | 9123936633 |
Mailing Telephone | 9125926435 |
Mailing Fax Number | 9127201009 |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-10-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000633 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
159 TROJAN WAY |
City | DOUGLAS |
State | GA |
Zip Code | 31533-8263 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669085742 | South Central Primary Care Center, Inc. | Clinic/Center | 159 Trojan Way, Douglas, GA 31533-8263 | 2020-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
Find all providers in zip 31533 |
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 |
---|---|---|---|---|
1821656224 | Samantha Jolyn Cole | Specialist/Technologist | 150 Irvine Bridge Rd, Douglas, WY 82633-8914 | 2019-05-31 |
1174008312 | Megan Kelly Sullivan | Specialist/Technologist | 56 Pond St, Douglas, MA 01516-2029 | 2018-10-02 |
1457752115 | Lamar Richard Innes | Specialist/Technologist | 4190 W Highway 80, Douglas, AZ 85607-6100 | 2014-09-11 |
1891105011 | Jenna Walker | Specialist/Technologist | 1701 Hamilton St, Douglas, WY 82633-2781 | 2014-04-28 |
1861454191 | Mitchell Paul Nelson | Specialist/Technologist | 1500 E 15th St, Douglas, AZ 85607-1731 | 2006-04-03 |
1184612756 | Jeffrey Philip Weems | Specialist/Technologist | 178 Fox Ridge Rd, Douglas, GA 31535-5628 | 2005-10-07 |
1669094033 | Sierra Lynn Williams | Specialist/Technologist | 4190 W Highway 80, Douglas, AZ 85607-6190 | 2020-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
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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.