Jay Michael Johnson, MED,ATC,LAT

Athletic Trainer · Valdosta, GA

Individual Active NPI

NPI number 1942350954

Practice location

1500 N Patterson St
Valdosta, GA 31698-6982
Phone
(229) 333-5897
Fax
(229) 333-5205

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NPI record

NPI
1942350954
Entity type
Individual (Type 1)
Enumeration date
January 11, 2007
Last updated
May 23, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT001259 GA
Athletic Trainer 2255A2300X AL 3434 FL

Mailing address

1500 N Patterson St
Valdosta, GA 31698-0100
Phone
(229) 333-5897
Fax
(229) 333-5205

About Jay Johnson

Jay Michael Johnson, MED,ATC,LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1500 N Patterson St, Valdosta, GA 31698-6982. The NPI number 1942350954 was assigned on January 11, 2007 and the record was last updated on May 23, 2019.

Jay Johnson lists 2 licenses in the registry: #AT001259 (GA) for Athletic Trainer; #AL 3434 (FL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jay Michael Johnson, MED,ATC,LAT?

The NPI number is 1942350954.

What is the phone number of Jay Johnson?

The phone number listed for the practice location is (229) 333-5897.

Where is Jay Johnson located?

1500 N Patterson St, Valdosta, GA 31698-6982.

What is the taxonomy code for Jay Johnson?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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