NPI age
5 years
Enumerated 2021-02-25
● Active
Type 1 · Individual
Shelby Broughton, ATC, OTC
Broughton is 1 of 14 specialist/technologist providers in Brookhaven and 1 of 1405 in Georgia.
Primary specialty
Specialist/Technologist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-02-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1405 active specialist/technologist providers in Georgia.
NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-02Enumerated in NPPES
2021
2026
Where they practice
Practice location
1968 Hawks Ln Ne
Brookhaven, GA 303292283
Mailing address
8308 Druid Hills Reserve Dr Ne
Atlanta, GA 303292064
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 | 2000029173 | BOC ATHLETIC TRAINING |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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Request a quote →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.