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MR. SHANNON BRANTLEY P.T, A.T.C.
NPI 1609081942
Specialist/Technologist - Athletic Trainer in Vidalia, GA

Active since May 11, 2007
101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 30474(912) 277-2044 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shannon Brantley P.t, A.t.c. NPPES

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

MR. SHANNON BRANTLEY P.T, A.T.C. (NPI 1609081942) is an individual athletic trainer provider in Vidalia, Georgia, licensed in Georgia (AT 001133) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1609081942
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. SHANNON BRANTLEYCredential: P.T, A.T.C.
Location Address101 HARRIS INDUSTRIAL BLVDVidalia, GA 30474-8845
Mailing AddressPo Box 404Adrian, GA 31002-0404
Phone(912) 277-2044
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1609081942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in GA · AT 001133
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT 007647 (GA)
101 HARRIS INDUSTRIAL BLVD, Vidalia, GA 30474
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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.

DR. HUBERT MCCRARY SUBER MD
Obstetrics & Gynecology
101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474
Toombs County (912) 537-1014
ANGELIA KRONTZ ATTAWAY CNM
Advanced Practice Midwife
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 537-1014
DR. JOHN V SPENCE M.D.
Emergency Medicine (Undersea and Hyperbaric Medicine)
101 HARRIS INDUSTRIAL BLVD, SUITE E
VIDALIA, GA 30474
Toombs County (770) 309-6636
MARY W BENNETT ATC, LAT
Specialist/Technologist (Athletic Trainer)
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2035
MRS. MARGARET FAIRLEY WOOD CCC/SLP
Speech-Language Pathologist
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2044
MEADOWS REGIONAL MEDICAL CENTER
Specialist/Technologist (Athletic Trainer)
101 HARRIS INDUSTRIAL BLVD
VIDALIA, GA 30474
Toombs County (912) 277-2035
CAROLYN CABE
Nurse Practitioner (Women's Health)
101 HARRIS INDUSTRIAL BLVD, STE C
VIDALIA, GA 30474
Toombs County (912) 537-1014
DR. KAREN JOAN MCCOLL M.D.
Obstetrics & Gynecology (Gynecology)
101 HARRIS INDUSTRIAL BLVD, SUITE C
VIDALIA, GA 30474
Toombs County (912) 537-1014

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 Shannon Brantley's NPI number?

The NPI number for Shannon Brantley is 1609081942. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Shannon Brantley located?

Shannon Brantley practices at 101 Harris Industrial Blvd, Vidalia, GA 30474. The listed phone number is (912) 277-2044.

What is Shannon Brantley'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 Shannon Brantley was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.