JAMES ANTHONY WOMBLES JR.


Address: 6565 Putnam Ford Dr, Woodstock, GA 30189-1501
Phone: 7063999097

JAMES ANTHONY WOMBLES JR. (NPI# 1083255764) 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) 1083255764
Entity Type Individual
Full Name JAMES ANTHONY WOMBLES JR.
Credential ATC
Practice Address 6565 Putnam Ford Dr
Woodstock
GA 30189-1501
Mailing Address 1199 Parkwood Chase Nw
Acworth
GA 30102-6399
Practice Telephone 7063999097
Mailing Telephone 7063999097
Enumeration Date 2019-10-03
Last Update Date 2019-10-03
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
AT002870 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6565 PUTNAM FORD DR
City WOODSTOCK
State GA
Zip Code 30189-1501

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1083133912 Amanda Bostock Sowisdral Physician Assistant 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 2017-09-12
1780101659 Laura C Koch Woodstock LLC Dba Fountain View Dentistry Dentist 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 2017-08-23
1265954788 Vicky Morton Bryan Nurse Practitioner 422 Sycamore Trail, Woodstock, GA 30189 2017-07-17
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1275914749 Nrup Tolat Podiatrist 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 2015-06-10
1558781534 Mary Jansson Carmon Nurse Practitioner 1000 Towne Lake Pkwy, Woodstock, GA 30189 2014-04-17
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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
1972124600 Margaret G Heldt Specialist/Technologist 3000 Raffel Rd, Woodstock, IL 60098-8302 2020-05-05
1417584038 Morgan Lederman Specialist/Technologist 10203 Saddlebred Trl, Woodstock, IL 60098-8669 2020-03-24
1497301543 Anne Bower Specialist/Technologist 99 Senior Ln, Woodstock, VT 05091-3404 2019-08-14
1962967422 Morris Latrell Jenkins Specialist/Technologist 6306 Elena Way, Woodstock, GA 30188-7872 2019-02-08
1679051049 Michael Hughes Specialist/Technologist 440 Brookes Walk, Woodstock, GA 30188-5185 2018-07-30
1427555440 Lisa Marie Anthony Specialist/Technologist 400 Arnold Mill Rd, Woodstock, GA 30188 2018-04-06
1902306418 Tyler D Good Specialist/Technologist 402 Mercer Dr, Woodstock, GA 30189-6737 2018-02-20
1144747551 Davonna Marie Cola Specialist/Technologist 415 Norton Xing, Woodstock, GA 30188-7822 2017-08-25
1801912118 Bobbie-jo Saucier Specialist/Technologist 150 Route 169, Woodstock, CT 06281-3318 2007-03-21
1801857115 Teresa Marie Martilik Specialist/Technologist 1147 Susan Ave, Woodstock, VA 22664-1043 2006-03-28
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Competitor

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City WOODSTOCK
Zip Code 30189

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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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