Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacqueline Anne Lupton, LAT, ATC

Individual provider Athletic Trainer · NPI 1053840413

Mrs. Jacqueline Anne Lupton, LAT, ATC is an Athletic Trainer in Savannah, Georgia. Practices as a sole proprietor. Licensed in Colorado and Georgia.

Licensed in
CO, GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
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

824 Stillwood Dr
Savannah, GA 31419-2643
Phone: (912) 961-8764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence AT004124 (GA)
Athletic Trainer Taxonomy 2255A2300X · Licence 2000028113 (CO)

Record details

NPI number1053840413
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorYes
NPI enumeratedJune 8, 2017
Last updated in NPPESAugust 13, 2023
Certification dateAugust 13, 2023

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