P Praxis·MD
● Active Type 1 · Individual

Mallori Loughry, MS, ATC

Specialist/Technologist·Fort Benning, GA· NPI 1982063749 · Enumerated 2016 · 10 years on NPI
Loughry is 1 of 11 specialist/technologist providers in Fort Benning and 1 of 1405 in Georgia.
NPI age
10 years
Enumerated 2016-02-22
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-27
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
0
13% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Practice location
5065 Moye Rd # 3465
Fort Benning, GA 319055915
📞 7068871182
Mailing address
6233 Charing Dr
Columbus, GA 319093733
📞 7068871182

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,...
    GA license #AT002401 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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