● Active Type 1 · Individual

Max Gierczak, ATC

Specialist/Technologist·Moultrie, GA· NPI 1235507385 · Enumerated 2015 · 10 years on NPI

Gierczak is 1 of 10 specialist/technologist providers in Moultrie and 1 of 1405 in Georgia.

NPI age

10 years

Enumerated 2015-09-07

Primary specialty

Specialist/Technologist

Plus 1 subspecialty

Licensed in

—

0 states

Status

Active

No deactivations on record

Last NPPES update

2018-03-17

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

10 years

≈ at median (9 yr)

State licenses

1 state

4% of peers hold multiple states

Subspecialties

In the 13% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES

2015 2026

Where they practice

Practice location

3100 Veterans Pkwy S

Moultrie, GA 317889400

📞 2298903553

Mailing address

1527 London Ct

Naperville, IL 605639202

Additional practice locations

1 secondary location on file with NPPES.

Location 2

1527 London Ct

Naperville, IL 605639202

📞 6302728926

Specialties

Respiratory, Developmental, Rehabilitative and Restorative Service Providers › Specialist/Technologist

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
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

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How to verify this provider

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