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

Jordan Elizabeth Fowler, ATC, LAT

Individual provider Athletic Trainer · NPI 1134505910

Jordan Elizabeth Fowler, ATC, LAT is an Athletic Trainer in Newnan, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

1755 Highway 34 E
Newnan, GA 30265-5631
Phone: (770) 254-7850
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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 AT002715 (GA)

Record details

NPI number1134505910
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESAugust 4, 2015

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