MS. DANETTA HICKS KEMP (NPI# 1578760559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578760559 |
| Entity Type | Individual |
| Full Name | MS. DANETTA HICKS KEMP |
| Credential | MS, ATC |
| Practice Address |
5040 Snapfinger Woods Dr Suite 205 Decatur GA 30035-4020 |
| Mailing Address |
2610 Casher Dr Decatur GA 30034-1009 |
| Practice Telephone | 6782055736 |
| Mailing Telephone | 4043430106 |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000620 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5040 SNAPFINGER WOODS DR SUITE 205 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548213366 | Maria Latanya Walker | Family Medicine | 5040 Snapfinger Woods Dr, Suite 108, Decatur, GA 30035-4020 | 2006-05-19 |
| 1780057737 | Tw Medical Supplies | Durable Medical Equipment & Medical Supplies | 5040 Snapfinger Woods Dr, Suite 105, Decatur, GA 30035 | 2015-11-12 |
| 1730503780 | Rejoyce Resolutions LLC | Case Management | 5040 Snapfinger Woods Dr, Decatur, GA 30035-4020 | 2014-02-11 |
| 1154750826 | Complete Medical | Clinic/Center | 5040 Snapfinger Woods Dr, Decatur, GA 30035-4020 | 2013-11-04 |
| 1144659848 | Healthcarelabs | Clinical Medical Laboratory | 5040 Snapfinger Woods Dr, Decatur, GA 30035-4020 | 2013-11-04 |
| 1053584722 | Snapfinger Woods Family Practice Group | Family Medicine | 5040 Snapfinger Woods Dr, Ste. 108, Decatur, GA 30035-4020 | 2008-04-02 |
| 1255520466 | Travis Erica Lloyd | Clinic/Center | 5040 Snapfinger Woods Dr, Suite 108, Decatur, GA 30035-4020 | 2007-10-24 |
| 1306040225 | Complete Care of Georgia, P.C. | Family Medicine | 5040 Snapfinger Woods Dr, Suite 201, Decatur, GA 30035-4020 | 2007-06-13 |
| 1457473795 | Healing Innovations, P.C. | Family Medicine | 5040 Snapfinger Woods Dr, Suite 201, Decatur, GA 30035-4020 | 2007-04-06 |
| 1922137959 | Piedmont Minor Emergency Clinic 2 LLC | Obstetrics & Gynecology | 5040 Snapfinger Woods Dr, Suite 108, Decatur, GA 30035-4020 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| 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 MS. DANETTA HICKS KEMP.
| 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.