Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collin Blake Frederick, LAT, ATC

Individual provider Athletic Trainer · NPI 1770050536

Collin Blake Frederick, LAT, ATC is an Athletic Trainer in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3005 Sardis Rd
Gainesville, GA 30506-2232
Phone: (912) 294-7908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT003432 (GA)

Record details

NPI number1770050536
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 30, 2018
Last updated in NPPESOctober 30, 2018
Mailing address76 Horserange Vista Ct, Cleveland, GA 30528-2387

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