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MAKAYLA FORREST MANGRAM ATC
NPI 1477138105
Specialist/Technologist - Athletic Trainer in Dacula, GA

Active since March 15, 2021
3590 BRASELTON HWY STE 102, DACULA, GA 30019(770) 271-1488(770) 271-1822 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Makayla Forrest Mangram Atc NPPES

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

MAKAYLA FORREST MANGRAM ATC (NPI 1477138105) is an individual athletic trainer provider in Dacula, Georgia, licensed in Georgia (AT003303) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1477138105
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMAKAYLA FORREST MANGRAMCredential: ATC
Location Address3590 BRASELTON HWY STE 102Dacula, GA 30019-1120
Mailing Address5334 Birchland CtBuford, GA 30518-9027 · (678) 761-2643
Phone(770) 271-1488
Fax(770) 271-1822
Sole ProprietorNo
Enumeration DateMarch 15, 2021
NPPES CertifiedMarch 14, 2021
✔ NPI 1477138105 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 · AT003303
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.
3590 BRASELTON HWY STE 102, Dacula, GA 30019
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Other Names 1

Former Name (1)Makayla Forrest Stacy Atc

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 Makayla Mangram's NPI number?

The NPI number for Makayla Mangram is 1477138105. It was assigned to this individual provider in the NPPES registry on March 15, 2021. The provider is also known as Makayla Forrest Stacy Atc.

Where is Makayla Mangram located?

Makayla Mangram practices at 3590 Braselton Hwy Ste 102, Dacula, GA 30019. The listed phone number is (770) 271-1488.

What is Makayla Mangram'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 Makayla Mangram was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.