SHAWN FAYARD ATC
NPI 1689908352
Specialist/Technologist - Athletic Trainer in Hattiesburg, MS

Q: What is Shawn Fayard's NPI number?

The NPI number for Shawn Fayard is 1689908352. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Q: What is Shawn Fayard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shawn Fayard was last updated on October 20, 2020. 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.

Active since September 28, 2009

103 MEDICAL PARK, HATTIESBURG, MS 39401(601) 268-5630 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shawn Fayard Atc NPPES

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

SHAWN FAYARD ATC (NPI 1689908352) is an individual athletic trainer provider in Hattiesburg, Mississippi, licensed in Mississippi (AT0472) and active in the NPI registry since September 2009. He maintains a secondary practice location in Bay St Louis.

NPPES Registry Identity

NPI1689908352

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameSHAWN FAYARDCredential: ATC

Location Address103 MEDICAL PARKHattiesburg, MS 39401-9042

Mailing AddressPo Box 778Purvis, MS 39475-0778

Phone(601) 268-5630

Sole ProprietorYes

Enumeration DateSeptember 28, 2009

Last NPPES UpdateOctober 20, 2020

NPPES CertifiedOctober 20, 2020

✔ NPI 1689908352 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 MS · AT0472

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.

103 MEDICAL PARK, Hattiesburg, MS 39401

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Secondary Practice Location 1

Location 1149 Drinkwater RdBay St Louis, MS 39520-1658 · Phone (228) 467-8725 · Fax (228) 467-8724

Other Identifiers 3

Other010702011MS · National Athletic Trainer's Association Board Of Certification (nataboc)

Other1005471MS · National Athletic Trainer's Association (nata)

OtherAT0472MS · Mississippi Department Of Health Licensure

Other Providers at the Same Location NPPES 13

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

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