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

Mr. Jerry Shadbolt, ATC

Individual provider Athletic Trainer · NPI 1932192671

Mr. Jerry Shadbolt, ATC is an Athletic Trainer in Sumter, South Carolina. Licensed in South Carolina. Registered with an NPI since 2005.

Licensed in
SC
In the registry since
2005
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

1215 Alice Dr
Sumter, SC 29150-1905
Phone: (803) 778-5223
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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 191 (SC)

Record details

NPI number1932192671
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 29, 2005
Last updated in NPPESJuly 13, 2026

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