MR. JOHN OWEN YOUNGBLOOD III (NPI# 1184178188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184178188 |
| Entity Type | Individual |
| Full Name | MR. JOHN OWEN YOUNGBLOOD III |
| Credential | MS, LAT, ATC |
| Practice Address |
1501 Mercer University Dr Macon GA 31207-1515 |
| Practice Telephone | 4789551587 |
| Mailing Telephone | 4789551587 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002123 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235457847 | John D Youngblood | Pharmacist | 7565 Woodland Ave, Hudson, OH 44236-1442 | 2010-05-06 |
| 1275705618 | John Matthew Youngblood | Chiropractor | 260 South Cody Road, Mobile, AL 36695 | 2008-03-26 |
| 1497978639 | John Youngblood | Physical Therapist | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2007-04-10 |
| 1518087329 | John Youngblood | Psychologist | 120 Maple St, Suite 219, Springfield, MA 01103-2203 | 2007-03-29 |
| 1073693727 | John Youngblood | Counselor | 452 W Market St, Xenia, OH 45385-2815 | 2006-10-17 |
| 1285714782 | John Youngblood | Family Medicine | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2006-10-17 |
| 1952399230 | John Wade Youngblood Jr. | Otolaryngology | 8300 Floyd Curl Dr, San Antonio, TX 78229-3931 | 2005-10-11 |
| Street Address |
1501 MERCER UNIVERSITY DR |
| City | MACON |
| State | GA |
| Zip Code | 31207-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902254766 | Matthew Mackenzie Kahrmann | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2016-06-01 |
| 1609494343 | Nicole Sibert | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-07-09 |
| 1427676162 | Jessica Leanne Waters | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-07-09 |
| 1598383234 | Hollye Robinson | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-07-09 |
| 1023634409 | Clayton Seigel | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-06-22 |
| 1609403559 | Bryan John Hostetler | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-03-23 |
| 1326697988 | Ayana Nikita Graham | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2019-09-06 |
| 1861976367 | Indya Denise Brown | Emergency Medicine | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2018-09-20 |
| 1962982124 | Emily Hartley Gabriel | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2018-08-17 |
| 1336654326 | Edward Larry Long IIi | Student in an Organized Health Care Education/Training Program | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2017-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316296627 | Jonathan Gustav Bulla | Student in an Organized Health Care Education/Training Program | 1550 College Street, Macon, GA 31207 | 2012-08-31 |
| 1366723751 | Abigail Lewis | Family Medicine | 1550 College St, Macon, GA 31207 | 2011-08-30 |
| 1265596589 | Elizabeth Jean Hudson-weires | Registered Nurse | 1550 College Street, Macon, GA 31207 | 2006-12-21 |
| 1316593262 | Nicole Theresia Mette | Student in an Organized Health Care Education/Training Program | 1550 College St Mercer University School of Medicine, Macon, GA 31207-0001 | 2019-08-16 |
| 1558921973 | Anna Nielsen Walker | Pathology | Mercer University School of Medicine Dept of Pathology, Macon, GA 31207-0001 | 2019-06-18 |
| 1770057788 | Brian Daniel Wright | Student in an Organized Health Care Education/Training Program | 1550 College Steeet, Macon, GA 31207-0001 | 2019-01-14 |
| 1710481049 | Sarah Nicole Telliard | Student in an Organized Health Care Education/Training Program | Mercer University School of Medicine 1550 College St, Macon, GA 31207-0001 | 2018-03-21 |
| 1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
| 1760665913 | Daniel John Gibbs | Specialist/Technologist | University Athletics, 1400 Coleman Ave, Macon, GA 31207-0001 | 2007-12-11 |
| 1285747642 | Kristin Elizabeth Bourque | Specialist/Technologist | 1400 Coleman Ave, Mercer University Athletic Department, Macon, GA 31207-0001 | 2006-08-17 |
| Find all providers in zip 31207 | ||||
| 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 |
|---|---|---|---|---|
| 1669004693 | Andrew Jeremy Mariscal | Specialist/Technologist | 1045 Ashford Chase Ct, Macon, GA 31210-8027 | 2020-02-07 |
| 1558993535 | Kathryn E Curtin | Specialist/Technologist | 4150 Arkwright Rd Apt 60, Macon, GA 31210-1727 | 2020-02-07 |
| 1316583644 | Jazmine Nichole Washington | Specialist/Technologist | 3960 Dorothy Dr, Macon, GA 31217-5426 | 2019-11-21 |
| 1336701325 | Marissa Ashley Hatem | Specialist/Technologist | 296 Orange St Apt 5, Macon, GA 31201-1688 | 2019-07-01 |
| 1043794258 | Hunter Leigh Martin | Specialist/Technologist | 127 Saint Croix Dr, Macon, GA 31210-8605 | 2018-09-24 |
| 1093227282 | Peyton Kayley M'lyn Braunstein | Specialist/Technologist | 233 Chadwick Cir, Macon, GA 31210-8836 | 2017-10-29 |
| 1164898771 | Stephanie Luecke Schneider | Specialist/Technologist | 1111 Valley View Ct, Macon, MO 63552-2128 | 2015-08-18 |
| 1124409883 | Ryan Stuart | Specialist/Technologist | 1300 Coleman Ave, Macon, GA 31207-4642 | 2015-06-17 |
| 1174925416 | William Holcomb | Specialist/Technologist | 1501 Mercer University Drive Mercer University, Macon, GA 31207-0001 | 2014-09-18 |
| 1205236635 | Amanda Windon | Specialist/Technologist | 851 Orange St, Macon, GA 31201-2164 | 2014-09-04 |
| Find all providers in MACON | ||||
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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.