P Praxis·MD
● Active Type 1 · Individual

Kelly Mooney, ATC/L

Specialist/Technologist·Lagrange, GA· NPI 1215345673 · Enumerated 2014 · 11 years on NPI
Mooney is 1 of 9 specialist/technologist providers in Lagrange and 1 of 1405 in Georgia.
NPI age
11 years
Enumerated 2014-07-30
Primary specialty
Specialist/Technologist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2014-07-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1405 active specialist/technologist providers in Georgia.

NPI age
11 years
↑ 2 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Practice location
104 Waterford Cir
Lagrange, GA 302407565
📞 7069575158
Mailing address
104 Waterford Cir
Lagrange, GA 302407565
📞 7069575158

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    taxonomy 2255A2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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