MR. TRAVIS POLK (NPI# 1427679331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427679331 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS POLK |
| Credential | ATC |
| Practice Address |
1120 Morningside Dr Perry GA 31069-2906 |
| Practice Telephone | 7068366350 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306355409 | Travis Polk | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2017-09-21 |
| 1306808860 | Travis Martin Polk | Surgery | 620 John Paul Jones Cir, Nmc Portsmouth, Department of General Surgery, Portsmouth, VA 23708-2111 | 2006-04-03 |
| Street Address |
1120 MORNINGSIDE DR |
| City | PERRY |
| State | GA |
| Zip Code | 31069-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114975521 | Morningside Emergency Physicians LLC | Emergency Medicine | 1120 Morningside Dr, Perry, GA 31069-2906 | 2006-05-05 |
| 1831717511 | Houston Hospitalist Group LLC | Hospitalist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2020-07-09 |
| 1467873547 | Houston County Emergency Group, LLC | Emergency Medicine | 1120 Morningside Dr, Perry, GA 31069-2906 | 2013-12-17 |
| 1386089399 | Christina Woodall Easler | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2013-05-03 |
| 1881972768 | Juliet Grace Whitten | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2011-07-27 |
| 1861715062 | Georgia Anesthesia Partners LLC | Anesthesiology | 1120 Morningside Dr, Perry, GA 31069-2906 | 2010-03-03 |
| 1164682001 | William Fred Moss | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2008-06-13 |
| 1063627412 | Vara Yvonne Hitchcock | Specialist/Technologist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2007-05-11 |
| 1700904356 | Sandra N. Johnson | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2007-03-26 |
| 1639201965 | David Michael Cunningham | Pharmacist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2007-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114924 | Rebecca Lyn Parker | Pharmacist | 302 Walton Chase, Perry, GA 31069 | 2018-11-27 |
| 1437637568 | Joshua Thomas Guley | Dentist | 2161 Houston Lake Road Hwy 127, Perry, GA 31069 | 2018-07-31 |
| 1043755531 | Otha Everett | Counselor | 733-b Carroll Street, Perry, GA 31069 | 2016-12-20 |
| 1699226001 | Middle Georgia Primary Care | Nurse Practitioner | 1115 Morningside Drive, Perry, GA 31069 | 2016-10-20 |
| 1639535628 | Holly Lavender | Nurse Practitioner | 1016 Keith Dr, Perry, GA 31069 | 2016-01-07 |
| 1598049918 | Spencer D Shugart | Physical Therapist | 1202 Macon Rd, Perry, GA 31069 | 2011-10-04 |
| 1154638518 | Middle Georgia Anesthesiology, LLC | Nurse Anesthetist, Certified Registered | 1040 Morningside Drive, Perry, GA 31069 | 2010-09-07 |
| 1922203686 | Sarah Pearson Velasquez | Nurse Practitioner | 1024 Keith Drive, Perry, GA 31069 | 2007-06-20 |
| 1417008004 | Bruce Duwayne Sampson | Internal Medicine | 1019 Keith Drive, Suite A, Perry, GA 31069 | 2007-01-12 |
| 1104839125 | Harold Brian Gillis | Chiropractor | 1207 Main Street Suite C, Perry, GA 31069 | 2006-08-14 |
| Find all providers in zip 31069 | ||||
| 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 |
|---|---|---|---|---|
| 1366943102 | Veronica Gabrielle Stanley | Specialist/Technologist | 471 Langston Rd, Perry, GA 31069-9325 | 2018-02-27 |
| 1407355605 | Jana Paige Whiddon | Specialist/Technologist | 131 Wimbish Way, Perry, GA 31069-9223 | 2018-02-03 |
| 1558896555 | Mary London | Specialist/Technologist | 14254 S Bridger Rd, Perry, MI 48872-9554 | 2017-04-27 |
| 1508313065 | Lawrence Bogner II | Specialist/Technologist | 8418 W. Britton Rd, Perry, MI 48872 | 2016-09-01 |
| 1295119964 | Rachel Lynne Spotz | Specialist/Technologist | 15422 Aldrich Ln, Perry, KS 66073-4021 | 2015-07-13 |
| 1659344166 | Brad E Morgan | Specialist/Technologist | 1 Success Blvd, Perry, OH 44081-9404 | 2006-02-08 |
| 1063627412 | Vara Yvonne Hitchcock | Specialist/Technologist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.