ADAM JOHN LUCASSIAN (NPI# 1770826737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770826737 |
| Entity Type | Individual |
| Full Name | ADAM JOHN LUCASSIAN |
| Credential | ATC, ITAT |
| Practice Address |
1000 University Center Ln Lawrenceville GA 30043-7409 |
| Mailing Address |
57478 Grace Dr Washington MI 48094-3155 |
| Practice Telephone | 6784075412 |
| Mailing Telephone | 5868721811 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2631 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003527 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3620 Howell Ferry Rd, Duluth, GA 300963178 | 6783126800 | |
| 500 Salisbury St, Worcester, MA 016091265 | 5087677144 | 5087677140 |
| Street Address |
1000 UNIVERSITY CENTER LN |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730691965 | James Edward Williams | Specialist/Technologist | 1000 University Center Ln, Lawrenceville, GA 30043-7409 | 2017-10-27 |
| 1366872830 | Jennifer Dean | Psychologist | 1000 University Center Ln, Lawrenceville, GA 30043-7409 | 2013-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| 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 |
|---|---|---|---|---|
| 1750908463 | Tan Cong Le | Specialist/Technologist | 440 Pebble Chase Ln, Lawrenceville, GA 30044-8832 | 2020-06-29 |
| 1649806902 | Aja Carter | Specialist/Technologist | 317 Villa Ridge Pkwy, Lawrenceville, GA 30044-2327 | 2020-03-19 |
| 1619514114 | Anyi Paola Santana-berroa | Specialist/Technologist | 3221 Fescue Cir, Lawrenceville, GA 30044-3241 | 2019-12-03 |
| 1487299202 | Cassandra Kohlhause | Specialist/Technologist | 2200 James St, Lawrenceville, IL 62439-2028 | 2019-11-15 |
| 1083256887 | Sarah Y Rahman | Specialist/Technologist | 1464 High Cotton Ct, Lawrenceville, GA 30043-7063 | 2019-10-13 |
| 1245888387 | Michael Scardelletti | Specialist/Technologist | 8 Whitemarsh Dr, Lawrenceville, NJ 08648-3722 | 2019-09-02 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1760040679 | Philip Jenny | Specialist/Technologist | 2719 Collins Hill Rd, Lawrenceville, GA 30043-2316 | 2019-06-05 |
| 1730644295 | Demetre Ledlum | Specialist/Technologist | 2660 Deer Isle Cv, Lawrenceville, GA 30044-5263 | 2019-02-08 |
| 1538677000 | Katherine Lee Darby | Specialist/Technologist | 1448 Whisperwood Ln, Lawrenceville, GA 30043-6975 | 2018-01-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on ADAM JOHN LUCASSIAN.
| 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.