FOSTER DEARISO


Address: 251 S Clarke St, Milledgeville, GA 31061
Phone: 4784455004

FOSTER DEARISO (NPI# 1427425230) 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) 1427425230
Entity Type Individual
Full Name FOSTER DEARISO
Credential ATC, LAT
Practice Address 251 S Clarke St
Milledgeville
GA 31061
Mailing Address 320 N Wayne St
Milledgeville
GA 31061-2857
Practice Telephone 4784455004
Mailing Telephone 4784451787
Enumeration Date 2015-08-27
Last Update Date 2015-09-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT002784 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 251 S CLARKE ST
City MILLEDGEVILLE
State GA
Zip Code 31061

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861007403 Caring Clinic LLC Nurse Practitioner 114 Wrights Dr, Milledgeville, GA 31061 2020-09-10
1629619945 Gini M Ellis Counselor Blandy Way Office Park 60, Highway 22 West, Milledgeville, GA 31061 2019-10-08
1356992275 Community Health Care Systems, Inc Clinic/Center 100 N Abc Street, Milledgeville, GA 31061 2019-09-23
1467923805 Adam Tocio Specialist/Technologist 350 W. Washington St., Milledgeville, GA 31061 2018-12-11
1487170304 Aubrey Martin Specialist/Technologist 251 S Clark St., Milledgeville, GA 31061 2017-08-22
1427573054 Heritagefirst Home Care Inc. In Home Supportive Care 1277 Twin Pine Road, Milledgeville, GA 31061 2017-08-04
1851813893 Brittany Shantrel Primas Nurse Practitioner 102 A Airport Road Ne, Milledgeville, GA 31061 2017-07-12
1609300839 Samantha Weldon Behavioral Analyst 174 Stewart Dr Nw, Milledgeville, GA 31061 2017-04-14
1023406279 Llewelyn Garillos Occupational Therapist 3789 Sinclair Dam Road Ne, Milledgeville, GA 31061 2014-12-22
1679970545 Sarah Fuller Specialist/Technologist 231 West Hancock Street, Campus Box 65, Milledgeville, GA 31061 2014-11-20
Find all providers in zip 31061

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
1578195509 Keyanna Bresha Dawson Specialist/Technologist 501 N Wilkinson St Apt C26, Milledgeville, GA 31061-2872 2020-02-07
1467923805 Adam Tocio Specialist/Technologist 350 W. Washington St., Milledgeville, GA 31061 2018-12-11
1306365895 Larry David Youngblood IIi Specialist/Technologist 251 South Clarke Street, Milledgeville, GA 31061-3106 2017-09-15
1487170304 Aubrey Martin Specialist/Technologist 251 S Clark St., Milledgeville, GA 31061 2017-08-22
1922557735 Clayton Faircloth Specialist/Technologist 208 Ivey Dr Sw, Milledgeville, GA 31061-3760 2016-09-22
1629448840 Steven Andrew Hoppenjan Specialist/Technologist 251 S Clarke St., Milledgeville, GA 31061-2857 2015-09-30
1679970545 Sarah Fuller Specialist/Technologist 231 West Hancock Street, Campus Box 65, Milledgeville, GA 31061 2014-11-20
1306255518 Amanda Jackson Jarriel Specialist/Technologist 231 West Hancock Street Campus Box 112, Georgia College, Milledgeville, GA 31061 2014-08-13
1164863239 Candace A Bailey Specialist/Technologist 111 N Clark St, Campus Box 65, Milledgeville, GA 31061-3321 2013-07-17
1306190715 Griffin Patrick Osborne Specialist/Technologist 108 Gmc Rd Ne, Milledgeville, GA 31061-9329 2012-11-07
Find all providers in MILLEDGEVILLE

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City MILLEDGEVILLE
Zip Code 31061

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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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