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THAXTON SULLIVAN
NPI 1942817895
Specialist/Technologist - Athletic Trainer in Hinesville, GA

Active since September 24, 2020
572 ESSAYONS DR., 92ND ENGINEER BN, HINESVILLE, GA 31313(601) 422-7472 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2023, Sep 24, 2020 (2 updates tracked since 2020).

About Thaxton Sullivan NPPES

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

THAXTON SULLIVAN (NPI 1942817895) is an individual athletic trainer provider in Hinesville, Georgia, licensed in Texas (AT9120) and active in the NPI registry since September 2020. He maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1942817895
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTHAXTON SULLIVAN
Location Address572 ESSAYONS DR., 92ND ENGINEER BNHinesville, GA 31313-3131
Mailing Address3 Courtland Dr Apt 50Hattiesburg, MS 39402-8186 · (601) 422-7472
Phone(601) 422-7472
Sole ProprietorYes
Enumeration DateSeptember 24, 2020
Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1942817895 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 TX · AT9120
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.
572 ESSAYONS DR., Hinesville, GA 31313
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Secondary Practice Location 1

Location 13 Courtland Dr Apt 50Hattiesburg, MS 39402-8186 · Phone (601) 422-7472

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 Thaxton Sullivan's NPI number?

The NPI number for Thaxton Sullivan is 1942817895. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Thaxton Sullivan located?

Thaxton Sullivan practices at 572 Essayons Dr. 92nd Engineer Bn, Hinesville, GA 31313. The listed phone number is (601) 422-7472.

What is Thaxton Sullivan'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 Thaxton Sullivan was last updated on March 22, 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.