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

Jordan Reid Johnson, MS, LAT, ATC

Individual provider Athletic Trainer · NPI 1174034938

Jordan Reid Johnson, MS, LAT, ATC is an Athletic Trainer in Banner Elk, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

191 Main St
Banner Elk, NC 28604-9626
Phone: (828) 898-8892
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 3602 (NC)

Record details

NPI number1174034938
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESOctober 19, 2017

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