MR. WILLIAM PRESTON BAZEMORE (NPI# 1790898351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790898351 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM PRESTON BAZEMORE |
| Credential | ATC |
| Practice Address |
11320 Woodstock Rd Roswell GA 30075-2548 |
| Mailing Address |
1907 Grant Ln Woodstock GA 30188-2958 |
| Practice Telephone | 6782779083 |
| Practice Fax Number | 6782779756 |
| Mailing Telephone | 6786181209 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000548 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
11320 WOODSTOCK RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356724595 | Christopher Ryan Leeds | Specialist/Technologist | 11320 Woodstock Rd, Roswell, GA 30075-2548 | 2015-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1477105922 | Haden Gregory Maloney | Specialist/Technologist | 8 Riverview Cir, Roswell, NM 88201-9197 | 2019-07-15 |
| 1932667037 | Amber Michelle Corcoran | Specialist/Technologist | 9310 Scott Rd, Roswell, GA 30076-3417 | 2019-03-07 |
| 1568945400 | Marian Bornhorst | Specialist/Technologist | 1090 Westcroft Ln, Roswell, GA 30075-6020 | 2018-09-06 |
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1669900015 | Alison Perry | Specialist/Technologist | 11595 King Rd, Roswell, GA 30075-2207 | 2017-05-30 |
| 1134657844 | Nolan Baugh | Specialist/Technologist | 625 W Crossville Rd Ste 216, Roswell, GA 30075-7515 | 2017-05-24 |
| 1689601924 | Lisa Ellen Sandoval | Specialist/Technologist | 500 W Hobbs St, Roswell, NM 88203-1834 | 2006-06-26 |
| 1275578536 | Tracey Lyn Huie | Specialist/Technologist | 4175 Riverhill Ct Ne, Roswell, GA 30075-1954 | 2006-06-19 |
| 1902891989 | Jose O Barron Jr. | Specialist/Technologist | 101 W College Blvd, Roswell, NM 88201-5174 | 2005-09-15 |
| 1033603832 | Deep Gautam Patel | Specialist/Technologist | 11685 Alpharetta Hwy, Roswell, GA 30076-4913 | 2018-06-15 |
| Find all providers in ROSWELL | ||||
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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.