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JACOB ALAN OLIVERSON
NPI 1306591771
Specialist/Technologist - Athletic Trainer in Lawrenceville, GA

Active since February 15, 2022
2505 NEWPOINT PKWY, LAWRENCEVILLE, GA 30043(678) 257-7078 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Alan Oliverson NPPES

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

JACOB ALAN OLIVERSON (NPI 1306591771) is an individual athletic trainer provider in Lawrenceville, Georgia, licensed in Georgia (AT004058) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1306591771
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameJACOB ALAN OLIVERSON
Location Address2505 NEWPOINT PKWYLawrenceville, GA 30043-6003
Mailing Address4263 Winslow Hill CtSuwanee, GA 30024-3766 · (801) 362-0498
Phone(678) 257-7078
Sole ProprietorNo
Enumeration DateFebruary 15, 2022
NPPES CertifiedFebruary 15, 2022
✔ NPI 1306591771 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 · AT004058
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.
2505 NEWPOINT PKWY, Lawrenceville, GA 30043
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Other Providers at the Same Location NPPES

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

SPORTS DOC LLC
Chiropractor
2505 NEWPOINT PKWY, STE 200
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 271-3188

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 Jacob Oliverson's NPI number?

The NPI number for Jacob Oliverson is 1306591771. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Jacob Oliverson located?

Jacob Oliverson practices at 2505 Newpoint Pkwy, Lawrenceville, GA 30043. The listed phone number is (678) 257-7078.

What is Jacob Oliverson'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 Jacob Oliverson was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.