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SAMANTHA PECKHAM AT, ATC
NPI 1902587058
Specialist/Technologist - Athletic Trainer in Blakely, GA

Active since July 31, 2023
12020 COLUMBIA ST, BLAKELY, GA 39823(734) 347-8962 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Peckham At, Atc NPPES

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

SAMANTHA PECKHAM AT, ATC (NPI 1902587058) is an individual athletic trainer provider in Blakely, Georgia, licensed in Georgia (AT004041) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1902587058
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSAMANTHA PECKHAMCredential: AT, ATC
Location Address12020 COLUMBIA STBlakely, GA 39823-2598
Mailing Address12020 Columbia StBlakely, GA 39823-2598 · (734) 347-8962
Phone(734) 347-8962
Sole ProprietorNo
Enumeration DateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1902587058 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 · AT004041
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.
12020 COLUMBIA ST, Blakely, GA 39823
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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 Samantha Peckham's NPI number?

The NPI number for Samantha Peckham is 1902587058. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Samantha Peckham located?

Samantha Peckham practices at 12020 Columbia St, Blakely, GA 39823. The listed phone number is (734) 347-8962.

What is Samantha Peckham'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 Samantha Peckham was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.