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Active NPI 1407646805 Individual Practitioner Male Practitioner

Noah Mikael Davis , MS, LAT, ATC

Specialist/Technologist - Athletic Trainer • Charleston, IL

Professional Overview & Biography Verified Profile Summary

Noah Davis, MS, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Charleston, IL. Practice services are available at 600 LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Lincoln Ave

Charleston, IL 619203099

Telephone 6185548410
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Charleston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Charleston, IL (1955 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: 2025-05-08
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

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

21 Associated Practitioners
Jehan Ayap

Specialist/Technologist - Athletic Trainer

NPI 1003321589
Hannah Crowley

Speech-Language Pathologist

NPI 1053936419
Michaela Desantis , ATC

Specialist/Technologist - Athletic Trainer

NPI 1093241887

Certified Athletic Trainer

Bryan Callaway , FNP

Nurse Practitioner - Family

NPI 1245220318

Family Nurse Practitioner

Allison Bertrand

Student in an Organized Health Care Education/Training Program

NPI 1245855337
Kyrrah Randolph , ATC

Specialist/Technologist - Athletic Trainer

NPI 1366274854

Certified Athletic Trainer

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 08, 2025

NPI status registered as active in NPPES database

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Updated Practice Location May 08, 2025

Registered at 600 LINCOLN AVE, CHARLESTON, IL 619203099 (Tel: 6185548410)

📍
Updated Business Mailing Address May 08, 2025

Registered at 2020 10TH ST APT 102, CHARLESTON, IL 619203436 (Tel: 6185548410)

👤
Provider Name / Credentials Updated May 08, 2025

Recorded as NOAH DAVIS, MS, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2025

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration May 08, 2025

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: 1407646805
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2025
Last Update: May 08, 2025
Sole Proprietor: No

Mailing Address

2020 10th St Apt 102

Charleston, IL 619203436

Phone: 6185548410

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.