Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477138105 Individual Practitioner Female Practitioner

Makayla Forrest Mangram , ATC

Specialist/Technologist - Athletic Trainer • Dacula, GA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Makayla Mangram, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Dacula, GA. Official NPI practice address is registered at 3590 BRASELTON HWY STE 102.

Practice Location & Contact Primary Location

Practice Address

3590 Braselton Hwy Ste 102

Dacula, GA 300191120

Telephone 7702711488
Fax 7702711822
Associated Practice Facility / Clinic
🏢 Elite Sports Medicine Facility NPI 1861408239

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Dacula, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Dacula, GA (1440 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-14
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License GA AT003303

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1073617163

DPTATC

Justin Long , MPT

Physical Therapist

NPI 1184728263

Master of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 15, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2021

Registered at 3590 BRASELTON HWY STE 102, DACULA, GA 300191120 (Tel: 7702711488)

📍
Updated Business Mailing Address March 15, 2021

Registered at 5334 BIRCHLAND CT, BUFORD, GA 305189027 (Tel: 6787612643)

👤
Provider Name / Credentials Updated March 15, 2021

Recorded as MAKAYLA MANGRAM, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2021

Specialist/Technologist (License #AT003303 in GA)

🟢
Initial NPI Registration & Enumeration March 15, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477138105
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2021
Last Update: March 15, 2021
Sole Proprietor: No

Mailing Address

5334 Birchland Ct

Buford, GA 305189027

Phone: 6787612643

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.