Healthcare Provider Details

I. General information

NPI: 1538071246
Provider Name (Legal Business Name): DIONNE ATKINS ATC, LAT, MAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 SHORTER AVE NW
ROME GA
30165-2273
US

IV. Provider business mailing address

340 W 3RD ST SW APT 470
ROME GA
30165-2273
US

V. Phone/Fax

Practice location:
  • Phone: 504-427-8904
  • Fax:
Mailing address:
  • Phone: 504-427-8904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT004862
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: