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

Makayla Forrest Mangram, ATC

Individual provider Athletic Trainer · NPI 1477138105

Makayla Forrest Mangram, ATC is an Athletic Trainer in Dacula, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3590 Braselton Hwy Ste 102
Dacula, GA 30019-1120
Phone: (770) 271-1488
Fax: (770) 271-1822
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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 AT003303 (GA)

Record details

NPI number1477138105
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 15, 2021
Last updated in NPPESMarch 15, 2021
Certification dateMarch 14, 2021

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