1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Specialist Technologist
  6. NPI Profile

JORDAN TEBODA ATC
NPI 1245693209
Specialist/Technologist - Athletic Trainer in Atlanta, GA

Active since March 29, 2016
59 EXECUTIVE PARK S, ATLANTA, GA 30329(404) 778-6330(404) 778-6370 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Teboda Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN TEBODA ATC (NPI 1245693209) is an individual athletic trainer provider in Atlanta, Georgia, licensed in Georgia (AT002448) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1245693209
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJORDAN TEBODACredential: ATC
Location Address59 EXECUTIVE PARK SAtlanta, GA 30329-2208
Mailing Address8259 Wicker AveSaint John, IN 46373-8878 · (219) 365-6560 · Fax (219) 365-6561
Phone(404) 778-6330
Fax(404) 778-6370
Sole ProprietorNo
Enumeration DateMarch 29, 2016
✔ NPI 1245693209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT002448
Definition

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.

59 EXECUTIVE PARK S, Atlanta, GA 30329
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN HIMES MED, ATC, OTC
Specialist
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (404) 778-7137
DR. JEFFREY W. WEBB M.D.
Pediatrics (Sports Medicine)
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (404) 778-7202
DI CUI
Physical Medicine & Rehabilitation
59 EXECUTIVE PARK S, #2000
ATLANTA, GA 30329
Dekalb County (404) 778-7138
MRS. KALEY RAE SPEROS LAMAS PA-C
Physician Assistant
59 EXECUTIVE PARK S, STE 3000
ATLANTA, GA 30329
Dekalb County (404) 778-6227
DR. WILLIAM HENRY HUFFMAN MD
Student in an Organized Health Care Education/Training Program
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (404) 778-7777
REBECCA JANE BEDARD ATC
59 EXECUTIVE PARK S, SUITE 1000
ATLANTA, GA 30329
Dekalb County (404) 778-7137
THOMAS KAMARAD ATC
Specialist/Technologist (Athletic Trainer)
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Dekalb County (404) 778-6330
DR. JACK ARTHUR TALSMA M.D.
Radiology (Diagnostic Radiology)
59 EXECUTIVE PARK S, 4TH FLOOR SUITE 4009
ATLANTA, GA 30329
Dekalb County (404) 778-5834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Teboda's NPI number?

The NPI number for Jordan Teboda is 1245693209. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Jordan Teboda located?

Jordan Teboda practices at 59 Executive Park S, Atlanta, GA 30329. The listed phone number is (404) 778-6330.

What is Jordan Teboda's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Jordan Teboda was last updated on March 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.