JOCELYN SHACKELFORD (NPI# 1912380098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912380098 |
| Entity Type | Individual |
| Full Name | JOCELYN SHACKELFORD |
| Credential | MA, LAT, ATC |
| Practice Address |
1775 M H Jackson Service Rd Atlanta GA 30354-3743 |
| Mailing Address |
1288 Merrimack Dr Davenport FL 33837-4153 |
| Practice Telephone | 4047143420 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003323 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4228 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1775 M H JACKSON SERVICE RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30354-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669980306 | Meaghan Daly | Specialist/Technologist | 1775 M H Jackson Service Rd, Atlanta, GA 30354-3743 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426996 | A Touch of Love Personal Care & Consulting | In Home Supportive Care | 100 Hartsfield Centre Pkwy Suite 500, Atlanta, GA 30354 | 2020-01-15 |
| 1952887168 | Walking In Purpose Inc. | Counselor | 3504 Eisenhower Cir Se, Atlanta, GA 30354 | 2018-07-11 |
| 1699193987 | Airport Spinal Injury | Clinic/Center | 809 North Central Ave, Hapeville, GA 30354 | 2014-04-03 |
| 1801234885 | Allergy Specialists of Georgia | Internal Medicine | 438 Henry Ford, Atlanta, GA 30354 | 2013-06-12 |
| 1851442867 | Harandi, Harandi, Spelios and Associates Hapeville LLC | Point of Service | 785 Virginia Ave, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1013068782 | Ali Harandifassih | Dentist | 785 Virginia Avenue, Suite A, Hapeville, GA 30354 | 2007-01-16 |
| 1336207349 | Catherine Clayton Harper | Registered Nurse | 3444 Claire Dr, Hopeville, GA 30354 | 2006-12-04 |
| 1649346099 | Katherine Lee Gill | Registered Nurse | 3444 Claire Drive, Hapeville, GA 30354 | 2006-11-28 |
| 1407865108 | Occupational Health Centers of Georgia PC | Clinic/Center | 3580 Atlanta Avenue, Hapeville, GA 30354 | 2006-08-05 |
| 1063488633 | Anthony Keith Taylor | Physician Assistant | 791 Oak Street, Hapeville, GA 30354 | 2006-02-24 |
| Find all providers in zip 30354 | ||||
| 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 |
|---|---|---|---|---|
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1063033033 | Katelynn Moore | Specialist/Technologist | 805 Mt Vernon Hwy Nw, Atlanta, GA 30327-4338 | 2020-04-30 |
| 1427689017 | Lorraine Kelly Mccall | Specialist/Technologist | 2241 Jernigan Dr Se, Atlanta, GA 30315-7557 | 2020-02-01 |
| 1962049577 | Yoichiro Shimada | Specialist/Technologist | 4222 Rickenbacker Dr Ne Unit 14, Atlanta, GA 30342-3768 | 2019-12-02 |
| 1245882398 | Jaycie Gail Emery | Specialist/Technologist | 5385 Peachtree Dunwoody Rd Apt 803, Atlanta, GA 30342-2167 | 2019-07-09 |
| 1053973313 | Robert Chavis | Specialist/Technologist | 150 Bobby Dodd Way Edge Building Athletic Training Room, Atlanta, GA 30332-0001 | 2019-07-07 |
| 1649832403 | Sarah Twomey | Specialist/Technologist | 1100 Circle 75 Pkwy Se Ste 1400, Atlanta, GA 30339-3067 | 2019-07-02 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| Find all providers in ATLANTA | ||||
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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.