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MARK R. ICENOGLE AT-C
NPI 1306800610
Specialist/Technologist - Athletic Trainer in Lawrenceville, GA

Active since April 13, 2006
758 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045(678) 985-7190(678) 985-7158 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark R. Icenogle At-c NPPES

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

MARK R. ICENOGLE AT-C (NPI 1306800610) is an individual athletic trainer provider in Lawrenceville, Georgia, licensed in Georgia (AT001236) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1306800610
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMARK R. ICENOGLECredential: AT-C
Location Address758 OLD NORCROSS RDLawrenceville, GA 30045-3385
Mailing Address758 Old Norcross RdLawrenceville, GA 30045-3385 · (678) 985-7190 · Fax (678) 985-7158
Phone(678) 985-7190
Fax(678) 985-7158
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateApril 8, 2008
✔ NPI 1306800610 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 · AT001236
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.
758 OLD NORCROSS RD, Lawrenceville, GA 30045
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Other Providers at the Same Location NPPES 6

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

ALICE A. HULL PTA
Physical Therapy Assistant
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
NORTH ATLANTA ENDOCRINOLOGY AND DIABETES, PC
Specialist
758 OLD NORCROSS RD, SUITE 175
LAWRENCEVILLE, GA 30045
Gwinnett County (770) 339-1387
TYHANNA D. ESHAM OT
Occupational Therapist
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
MICHAEL C. KIM PT
Physical Therapist (Orthopedic)
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
JON S. STEFFEY AT-C
Specialist/Technologist (Athletic Trainer)
758 OLD NORCROSS RD
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190
MRS. COLLEEN YVONNE BUTLER MS,ATC, LAT
Specialist/Technologist (Athletic Trainer)
758 OLD NORCROSS RD, SUITE 110
LAWRENCEVILLE, GA 30045
Gwinnett County (678) 985-7190

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 Mark Icenogle's NPI number?

The NPI number for Mark Icenogle is 1306800610. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Mark Icenogle located?

Mark Icenogle practices at 758 Old Norcross Rd, Lawrenceville, GA 30045. The listed phone number is (678) 985-7190.

What is Mark Icenogle'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 Mark Icenogle was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.