MR. COREY DARNELL BENNETT (NPI# 1396824991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396824991 |
| Entity Type | Individual |
| Full Name | MR. COREY DARNELL BENNETT |
| Credential | MS, ATC, LAT, CFO |
| Practice Address |
1014 Sycamore Dr Ste. B Decatur GA 30030-1644 |
| Mailing Address |
5079 Summer Haven Walk Sugar Hill GA 30518-7997 |
| Practice Telephone | 4042991700 |
| Practice Fax Number | 4042991616 |
| Mailing Telephone | 6787148571 |
| Mailing Fax Number | 6787148571 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001351 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020665 | Corey Bennett | Technician | 2330 His Way, Lawrenceville, GA 30044-2208 | 2019-09-03 |
| Street Address |
1014 SYCAMORE DR STE. B |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770528895 | Valerie Lynne Compson | Specialist/Technologist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2006-06-20 |
| 1245863174 | Emory Physical Therapy, LLC | Physical Therapist | 1014 Sycamore Dr, Decatur, GA 30030-1644 | 2020-02-19 |
| 1104274323 | Monal, LLC | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2016-05-27 |
| 1265849343 | Gary Anthony Rudolph Bowen | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2014-07-21 |
| 1275760720 | Daniel Thomas Huttman | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-06-11 |
| 1346474004 | Amanda Lauren Dempsey | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-05-11 |
| 1043461650 | Alexandra Moran | Physical Therapist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2008-10-02 |
| 1700965159 | Diana Spock Adebulehin | Physician Assistant | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1790864049 | Timothy J. Mills | Registered Nurse | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1720167083 | Jessica E. Simbro | Physical Therapist | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1134746860 | Faith Helen Heyl | Specialist/Technologist | 1032 Parc Ln W, Decatur, GA 30033-4065 | 2020-06-29 |
| 1861039059 | Furman Harold Riley Jr. | Specialist/Technologist | 212 Ridgeland Ave, Decatur, GA 30030-2056 | 2019-12-06 |
| 1720637614 | Tisha Marie Hess | Specialist/Technologist | 2538 E Lost Bridge Rd, Decatur, IL 62521-4408 | 2019-09-04 |
| 1922566199 | Hannah Daily | Specialist/Technologist | 5969 Kentland Dr, Decatur, IL 62521-8754 | 2019-03-06 |
| 1952875171 | Adam Lucas Hotaling | Specialist/Technologist | 951 Fortenberry Rd, Decatur, TX 76234-5817 | 2019-01-22 |
| 1720569106 | Marc Anthony Lara | Specialist/Technologist | 405 N Cates St, Decatur, TX 76234-1504 | 2018-08-23 |
| 1871079442 | Jackson Randall Therrien | Specialist/Technologist | 224 Crows Nest Cir, Decatur, MS 39327-9186 | 2018-07-17 |
| 1750867776 | Derrick Wesley Jones | Specialist/Technologist | 275 W Broad St, Decatur, MS 39327-8985 | 2018-07-12 |
| 1720573447 | Jonathan Clark | Specialist/Technologist | 1214 Highland Lake Cir, Decatur, GA 30033-3460 | 2018-06-25 |
| 1811492812 | Taylor Zolecki | Specialist/Technologist | 885 W Grove Rd, Decatur, IL 62521-9058 | 2018-03-29 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on MR. COREY DARNELL BENNETT.
| 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.