SAMANTHA REBEKAH VILLA (NPI# 1639402654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639402654 |
| Entity Type | Individual |
| Full Name | SAMANTHA REBEKAH VILLA |
| Credential | MS, ATC |
| Practice Address |
1400 Coleman Ave Macon GA 31207-0001 |
| Mailing Address |
1400 Coleman Ave Macon GA 31207-8400 |
| Practice Telephone | 4783012135 |
| Practice Fax Number | 4783012039 |
| Mailing Telephone | 4783012135 |
| Mailing Fax Number | 4783012039 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT001682 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1400 COLEMAN AVE |
| City | MACON |
| State | GA |
| Zip Code | 31207-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285747642 | Kristin Elizabeth Bourque | Specialist/Technologist | 1400 Coleman Ave, Mercer University Athletic Department, Macon, GA 31207-0001 | 2006-08-17 |
| 1619400348 | Devon Tobey | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-1100 | 2017-04-10 |
| 1205245016 | Tipton Dovey Sholes | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2014-08-05 |
| 1306270210 | Michael Lowery | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-27 |
| 1619301884 | Samuel Devictor | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-23 |
| 1659705986 | Mercer University School of Medicine | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-22 |
| 1770917155 | Annalee Joy Wittmeyer | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-21 |
| 1861825499 | Matthew Warren | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-08-19 |
| 1033558630 | Ayesha Tabassom | Student in an Organized Health Care Education/Training Program | 1400 Coleman Ave, Macon, GA 31207-0001 | 2013-06-18 |
| 1962750323 | Justin Mcivor Law | Family Medicine | 1400 Coleman Ave, Macon, GA 31207-0001 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770004715 | Renee Boudreaux | Podiatrist | 1501 Mercer University Dr, Macon, GA 31207 | 2017-06-29 |
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on SAMANTHA REBEKAH VILLA.
| 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.