JOHNATHAN GRANT WILLIAMS (NPI# 1497308993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497308993 |
| Entity Type | Individual |
| Full Name | JOHNATHAN GRANT WILLIAMS |
| Credential | ATC |
| Practice Address |
1601 Maple St Carrollton GA 30118-0001 |
| Mailing Address |
151 Holly St Winfield AL 35594-3821 |
| Practice Telephone | 6788395000 |
| Mailing Telephone | 2054959964 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2325 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BOARD OF CERTIFICATION NUMBER | 2000030441 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326304049 | Johnathan Fred Williams | Orthopaedic Surgery | 1717 N E St Ste 208, Pensacola, FL 32501-6336 | 2012-04-06 |
| 1245201557 | Johnathan Deleon Williams | Internal Medicine | 640 Summit Crossing Pl, Ste 204, Gastonia, NC 28054-2142 | 2006-01-27 |
| Street Address |
1601 MAPLE ST |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30118-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932214160 | Leslie Townsend Cottrell | Family Medicine | 1601 Maple St, University of West Georgia, Carrollton, GA 30118-0001 | 2006-08-20 |
| 1699328039 | Victoria N Riebock | Specialist/Technologist | 1601 Maple St, Carrollton, GA 30118-0001 | 2019-07-23 |
| 1033628904 | Corey Brian Hindman | Counselor | 1601 Maple St, Carrollton, GA 30118-0001 | 2017-09-23 |
| 1245680982 | Ryan Smith | Specialist/Technologist | 1601 Maple St, Carrollton, GA 30118-0001 | 2016-06-14 |
| 1235528811 | University of West Georgia | Family Medicine | 1601 Maple St, Carrollton, GA 30118-0001 | 2015-01-20 |
| 1063532547 | Michael K Duncan | Pharmacist | 1601 Maple St, Health Services (pharmacy), Carrollton, GA 30118-0001 | 2007-03-30 |
| 1730213356 | Rodger A Miles Jr. | Pharmacist | 1601 Maple St, Health Services (pharmacy), Carrollton, GA 30118-0001 | 2007-03-15 |
| 1144335167 | Thomas Gregory Heath | Nurse Practitioner | 1601 Maple St, Carrollton, GA 30118-0001 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225306210 | Andrew M Bass | Specialist/Technologist | 1601 Maple Street Athletic Operations Building, Carrollton, GA 30118-0001 | 2011-12-06 |
| 1134237472 | Denise A Parham | Nurse Practitioner | 1600 Maple St, University of West Ga, Carrollton, GA 30118-4700 | 2006-08-28 |
| 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 |
|---|---|---|---|---|
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1912462359 | Julie Nelson | Specialist/Technologist | 3519 Whitney Dr, Carrollton, TX 75007-3214 | 2019-02-08 |
| 1124583885 | Samantha Jo Lynette Staton | Specialist/Technologist | 28360 Cr 280, Carrollton, MO 64633-8560 | 2019-02-07 |
| 1528540788 | Bailey Mackenzie Johnson | Specialist/Technologist | 3109 Furneaux Ln, Carrollton, TX 75007-3514 | 2018-09-04 |
| 1427561653 | Jacqueline Fisher | Specialist/Technologist | 2237 Woodcreek, Carrollton, TX 75006-1911 | 2017-11-09 |
| 1932659604 | Trey Boles | Specialist/Technologist | 101 Mojave Ter, Carrollton, KY 41008-9626 | 2016-10-06 |
| 1801253497 | Lydia Yu | Specialist/Technologist | 1904 Southern Oaks, Carrollton, TX 75007-5306 | 2016-01-27 |
| 1518338300 | Carri Stewart | Specialist/Technologist | 123 Deer Park Dr, Carrollton, GA 30116 | 2015-10-19 |
| 1669892485 | William Green | Specialist/Technologist | 641 N Cliff St, Carrollton, GA 30117-2207 | 2014-04-19 |
| 1225306210 | Andrew M Bass | Specialist/Technologist | 1601 Maple Street Athletic Operations Building, Carrollton, GA 30118-0001 | 2011-12-06 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30118 |
Please comment or provide details below to improve the information on JOHNATHAN GRANT WILLIAMS.
| 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.