NPI age
10 years
Enumerated 2016-05-16
● Active
Type 1 · Individual
Alyssa Stout, ATC
Stout is 1 of 3 specialist/technologist providers in Evans and 1 of 1405 in Georgia.
Primary specialty
Specialist/Technologist
Plus 1 subspecialty
Licensed in
GA, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-03-25
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
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
4300 University Pkwy
Evans, GA 308093063
Mailing address
1120 15th St Ste Bi-1056
Augusta, GA 309120004
Specialties
-
Specialist/Technologist PrimaryAthletic 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,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | AT003333 | ATHLETIC TRAINER LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- 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.
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