AMBER MICHELLE CORCORAN (NPI# 1932667037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932667037 |
| Entity Type | Individual |
| Full Name | AMBER MICHELLE CORCORAN |
| Other Name | AMBER MICHELLE PORTWOOD |
| Credential | MAT, LAT, ATC, ITAT |
| Practice Address |
9310 Scott Rd Roswell GA 30076-3417 |
| Mailing Address |
2201 Peachtree Creek Cir Atlanta GA 30341-5355 |
| Practice Telephone | 4702544230 |
| Mailing Telephone | 6788968934 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002940 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9310 SCOTT RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| 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 |
| 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 |
| 1790898351 | William Preston Bazemore | Specialist/Technologist | 11320 Woodstock Rd, Roswell, GA 30075-2548 | 2006-08-17 |
| 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.