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

Jeremy Keith King, MED, LAT, ATC, ITAT

Individual provider Athletic Trainer · NPI 1164939849

Jeremy Keith King, MED, LAT, ATC, ITAT is an Athletic Trainer in Blue Ridge, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
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

360 Rebels Cir
Blue Ridge, GA 30513-8137
Phone: (706) 455-5134
Fax: (706) 632-6552
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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 AT002001 (GA)

Record details

NPI number1164939849
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LAT , ATC , ITAT
Sole proprietorNo
NPI enumeratedJanuary 4, 2018
Last updated in NPPESJanuary 4, 2018

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