MR. RUSSELL JOE HOFF (NPI# 1811165335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811165335 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL JOE HOFF |
| Credential | ATC |
| Practice Address |
1500 N Patterson St Valdosta GA 31698-0100 |
| Mailing Address |
4472 Mathis Mill Rd Valdosta GA 31602-0864 |
| Practice Telephone | 2293335897 |
| Practice Fax Number | 2293335972 |
| Mailing Telephone | 2292425327 |
| Mailing Fax Number | 2293335972 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT000492 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1500 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31698-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275506610 | Stacey Diane Walters | Specialist/Technologist | 1500 N Patterson St, Dept. Kpe, Valdosta, GA 31698-0100 | 2006-02-08 |
| 1174161012 | Emily C Hoyt | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2019-12-11 |
| 1710541057 | Jason Jacoby | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2019-04-23 |
| 1326601295 | Chase Kriebel | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2019-04-17 |
| 1013401264 | Joshua Hoffmann | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2018-06-20 |
| 1295227932 | Art Dewayne Freeman II | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2018-05-30 |
| 1871985762 | Malcolm Brown | Specialist/Technologist | 1500 N Patterson St, Athletic Field House Room 1018, Valdosta, GA 31698-0100 | 2015-03-02 |
| 1962787804 | Valdosta State University | Clinic/Center | 1500 N Patterson St, Valdosta, GA 31698-0100 | 2011-10-11 |
| 1508917360 | Chuck Conner | Specialist/Technologist | 1500 N Patterson St, Valdosta State University, Dept. Kspe, Valdosta, GA 31698-0100 | 2007-01-16 |
| 1942350954 | Jay Michael Johnson | Specialist/Technologist | 1500 N Patterson St, Valdosta, GA 31698-6982 | 2007-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801189402 | Valdosta State University Student Health Services | Registered Nurse | 200 Georgia Avenue, Valdosta, GA 31698 | 2011-05-16 |
| 1962726687 | Jacqueline Williams Davis | Pharmacist | 200 Georgia Ave, Valdosta, GA 31698 | 2010-03-24 |
| 1073025961 | Maci Dee Fox | Specialist/Technologist | 605 W Mary Street, Valdosta, GA 31698-0001 | 2017-10-31 |
| 1073598157 | Frances M. Youmans | Nurse Practitioner | 1515 N Patterson St, Valdosta, GA 31698-0050 | 2005-12-12 |
| 1083132484 | Valdosta State University | Pharmacy | 200 Georgia Ave, Valdosta, GA 31698-3843 | 2017-09-06 |
| 1962968925 | Olivia Spuler | Specialist/Technologist | 1500 North Ashley St, Valdosta, GA 31698-8828 | 2019-02-14 |
| 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 |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1851939797 | Chelsea Carter | Specialist/Technologist | 1300 Melody Ln Apt D14, Valdosta, GA 31601-7592 | 2019-12-10 |
| 1912544081 | Derykah Yates | Specialist/Technologist | 4318 Brandonshire Ln, Valdosta, GA 31605-7010 | 2019-12-07 |
| 1902443534 | Nicholas Thomas Hamilton | Specialist/Technologist | 805 Harmon Dr Apt C2, Valdosta, GA 31601-3603 | 2019-12-02 |
| 1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
| 1780147421 | Claire Nicole Siceloff | Specialist/Technologist | 2092 S Sherwood Dr Apt 121, Valdosta, GA 31602-2249 | 2019-04-10 |
| 1962968925 | Olivia Spuler | Specialist/Technologist | 1500 North Ashley St, Valdosta, GA 31698-8828 | 2019-02-14 |
| 1528540804 | Alexander Stephen Cosper | Specialist/Technologist | 816 Valerie Pl, Valdosta, GA 31605-6426 | 2018-09-03 |
| 1063911295 | Chelsea Tatiyana Mayo | Specialist/Technologist | 1601 Norman Dr Apt Jj8, Valdosta, GA 31601-3247 | 2018-02-02 |
| 1073025961 | Maci Dee Fox | Specialist/Technologist | 605 W Mary Street, Valdosta, GA 31698-0001 | 2017-10-31 |
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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.