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

Jalen Isaiah Goodwin, LAT, ATC

Individual provider Athletic Trainer · NPI 1053142349

Jalen Isaiah Goodwin, LAT, ATC is an Athletic Trainer in Greenville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
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

1301 E Arlington Blvd
Greenville, NC 27858-5868
Phone: (252) 565-8812
Fax: (252) 565-8814
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (NC)

Record details

NPI number1053142349
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

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