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

Nicholas Cody Shaw, ATC

Individual provider Athletic Trainer · NPI 1336800150

Nicholas Cody Shaw, ATC is an Athletic Trainer in Pelahatchie, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

201 S Brooks Ave
Pelahatchie, MS 39145
Phone: (601) 759-5006
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0567 (MS)

Record details

NPI number1336800150
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 3, 2022
Mailing address201 South Brooks Avenue, Pelahatchie, MS 39145