Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699122119 Individual Practitioner Female Practitioner

Alyssa Stout , ATC

Specialist/Technologist - Athletic Trainer • Evans, GA

Professional Overview & Biography Verified Profile Summary

Alyssa Stout, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Evans, GA. Practice services are available at 4300 UNIVERSITY PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4300 University Pkwy

Evans, GA 308093063

Telephone 7067218623
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

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

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

Practicing in Evans, 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: 2020-03-25
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License GA AT003333

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

State License MN 2626

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Athletic Trainer License
AT003333 (GA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jack Ellis , DO

Internal Medicine

NPI 1003115254

Doctor of Osteopathic Medicine (D.O.)

Dr. Noelle Rolle , MD

Internal Medicine - Rheumatology

NPI 1003249194

Doctor of Medicine (M.D.)

Dr. Bryan Broach , MD

Internal Medicine

NPI 1003298902

Doctor of Medicine (M.D.)

NPI 1003299793

Doctor of Medicine (M.D.)

Dr. Kayla Shahbazian , DO

Internal Medicine

NPI 1003379280

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Winkler , MD

Radiology - Diagnostic Radiology

NPI 1003846692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 25, 2020

Registered at 4300 UNIVERSITY PKWY, EVANS, GA 308093063 (Tel: 7067218623)

📍
Updated Business Mailing Address March 25, 2020

Registered at 1120 15TH ST STE BI-1056, AUGUSTA, GA 309120004 (Tel: 7067213813)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Specialist/Technologist (License #AT003333 in GA)

NPI Profile Active May 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2016

Registered at 5803 NEAL AVE N, OAK PARK HEIGHTS, MN 550822177 (Tel: 6514398807)

📍
Updated Business Mailing Address May 16, 2016

Registered at 5803 NEAL AVE N, OAK PARK HEIGHTS, MN 550822177 (Tel: 6514398807)

👤
Provider Name / Credentials Updated May 16, 2016

Recorded as ALYSSA STOUT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2016

Specialist/Technologist (License #2626 in MN)

🟢
Initial NPI Registration & Enumeration May 16, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699122119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2016
Last Update: March 25, 2020
Sole Proprietor: Yes

Mailing Address

1120 15th St Ste Bi-1056

Augusta, GA 309120004

Phone: 7067213813

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.