DYLAN MCCARTER (NPI# 1639588700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639588700 |
| Entity Type | Individual |
| Full Name | DYLAN MCCARTER |
| Credential | ATC |
| Practice Address |
1735 Buford Hwy Suite 310 Cumming GA 30041-1266 |
| Mailing Address |
2400 Wisteria Dr Suite A Snellville GA 30078-2689 |
| Practice Telephone | 7708870502 |
| Practice Fax Number | 7708870054 |
| Mailing Telephone | 7709820102 |
| Mailing Fax Number | 7709820130 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2014-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002488 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1735 BUFORD HWY SUITE 310 |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437198447 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1735 Buford Hwy, Cumming, GA 30041-1266 | 2006-06-05 |
| 1124530522 | Whitney Holcombe | Pharmacist | 1735 Buford Hwy, Cumming, GA 30041-1266 | 2017-10-26 |
| 1053658633 | Shelley Thomas | Pharmacist | 1735 Buford Hwy, Cumming, GA 30041-1266 | 2013-01-15 |
| 1780929539 | Amy Kimberly Knaperek | Pharmacist | 1735 Buford Hwy, Cumming, GA 30041-1266 | 2012-12-05 |
| 1427317270 | Ricardo L Good Calo | Specialist/Technologist | 1735 Buford Hwy, Suite 310, Cumming, GA 30041-1266 | 2012-05-15 |
| 1144463308 | Ashley Austin Owen | Specialist/Technologist | 1735 Buford Hwy, Suite 310, Cumming, GA 30041-1266 | 2009-04-16 |
| 1306931076 | Sherry R Jordan | Dentist | 1735 Buford Hwy, Suite 135, Cumming, GA 30041-1266 | 2006-10-04 |
| 1598790883 | Eric Golden Lea | Physical Therapist | 1735 Buford Hwy, Suite 310, Cumming, GA 30041-1266 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1982228631 | Emily Carroll | Specialist/Technologist | 6080 Lake Oak Lndg, Cumming, GA 30040-9514 | 2020-05-28 |
| 1093334518 | Bailey Nicole Manson | Specialist/Technologist | 1092 Firethorne Pass, Cumming, GA 30040-7720 | 2020-04-14 |
| 1811549819 | Addison Brynne Mienert | Specialist/Technologist | 6450 Ivey Manor Dr, Cumming, GA 30040-6684 | 2019-07-10 |
| 1407327679 | Emma Bohnet | Specialist/Technologist | 4245 Wildener Way, Cumming, GA 30041-3602 | 2018-12-16 |
| 1437640935 | Paul Buurman | Specialist/Technologist | 4155 Drew Rd, Cumming, GA 30040-9441 | 2018-05-21 |
| 1497110704 | Paige Cressman | Specialist/Technologist | 250 Azalea Cir, Cumming, GA 30040-2762 | 2015-12-31 |
| 1366852162 | Dana Garrish | Specialist/Technologist | 4050 New Salem Ct, Cumming, GA 30040-3349 | 2014-05-01 |
| 1063830057 | Alysha Abernathy | Specialist/Technologist | 564 Lakeland Plz, Cumming, GA 30040-2783 | 2014-04-07 |
| 1720331200 | Katie Stauffer | Specialist/Technologist | 561 Lakeland Plz, Cumming, GA 30040-2784 | 2012-10-20 |
| 1477805695 | Sean Nelson | Specialist/Technologist | 531 Lakeland Plz, Cumming, GA 30040 | 2012-10-11 |
| Find all providers in CUMMING | ||||
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| 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.