CODY GROTEWOLD (NPI# 1538696273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538696273 |
| Entity Type | Individual |
| Full Name | CODY GROTEWOLD |
| Credential | MS, ATC, LAT |
| Practice Address |
590 Herty Lane Statesboro GA 30460-3783 |
| Mailing Address |
224 Lanier Dr Statesboro GA 30458-3783 |
| Practice Telephone | 9124785053 |
| Mailing Telephone | 9124785053 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002778 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
590 HERTY LANE |
| City | STATESBORO |
| State | GA |
| Zip Code | 30460-3783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669995858 | Kristen Leigh Neitz | Specialist/Technologist | 590 Herty Lane, Statesboro, GA 30258 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760589683 | Andrea Elizabeth Bethel | Optometrist | 984 Plant Dr, Statesboro, GA 30460 | 2006-09-20 |
| 1699140855 | Amy Luna | Psychologist | 788 Forest Dr, Statesboro, GA 30460-0001 | 2015-12-14 |
| 1437559333 | Catherine Mcculley | Student in an Organized Health Care Education/Training Program | 590 Herty Dr, Statesboro, GA 30460-0001 | 2014-08-27 |
| 1851621080 | Shannon Kay Salter Fussell | Psychologist | Forest Dr, Counseling and Career Development Center, Statesboro, GA 30460-0001 | 2010-01-11 |
| 1255575890 | Georgia Southern University School of Nursing Community Nursing Center | Clinic/Center | 250 Forrest Dr, Rm# 1004, Statesboro, GA 30460-0001 | 2009-04-27 |
| 1194924449 | Thomas Andrew Buckley | Specialist/Technologist | Georgia Southern University, Health & Kinesiology, Statesboro, GA 30460-0001 | 2007-07-17 |
| 1831310721 | Brant Douglas Berkstresser | Specialist/Technologist | 50 Herty Dr, Hanner Fieldhouse, Georgia Southern University, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1376764340 | Brandy Anne Petty | Physical Medicine & Rehabilitation | Georgia Southern University Hanner Fieldhouse, Herty Drive, Statesboro, GA 30460-0001 | 2007-05-01 |
| 1518010230 | Constance E Morgan | Nurse Practitioner | 0404 Forest Dr, Statesboro, GA 30460-0001 | 2007-01-18 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| Find all providers in zip 30460 | ||||
| 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 |
|---|---|---|---|---|
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1285269662 | Jack Reynolds Hall IIi | Specialist/Technologist | 6339 Middle Ground Rd, Statesboro, GA 30461-8434 | 2020-03-06 |
| 1407404510 | Kennisha Shantell Wilson | Specialist/Technologist | 831 S Main St Apt 1417, Statesboro, GA 30458-3464 | 2019-09-01 |
| 1043863673 | Wendy Deal | Specialist/Technologist | 2000 Stambuk Ln, Statesboro, GA 30458-2583 | 2019-07-23 |
| 1831673284 | Claudia Marie Simpson | Specialist/Technologist | 130 Lanier Dr Apt 1118, Statesboro, GA 30458-8030 | 2018-09-21 |
| 1114401429 | Kayleigh Heather Stevenson | Specialist/Technologist | 350 Rucker Ln Unit 118, Statesboro, GA 30458-3241 | 2018-09-21 |
| 1548741622 | Kiana Marie Young | Specialist/Technologist | 130 Lanier Dr Apt 132, Statesboro, GA 30458-8006 | 2018-08-27 |
| 1073094173 | Cyntoria De'asia Thomas | Specialist/Technologist | 1400 Statesboro Place Cir Apt Cc559, Statesboro, GA 30458-0232 | 2018-08-27 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1689154635 | Lauren White | Specialist/Technologist | 2000 Stambuk Ln Apt 931, Statesboro, GA 30458-0218 | 2018-08-20 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30460 |
Please comment or provide details below to improve the information on CODY GROTEWOLD.
| 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.