MR. GERALD ALLEN STEVENS (ATC, LAT) – Athletic Trainer, NPI 1720069065

MR. GERALD ALLEN STEVENS (ATC, LAT) is a healthcare provider. based in Jacksonville, Florida. specializing in Athletic Trainer. They hold the professional credentials ATC, LAT. They hold a License No. AL 428 (FL). The NPI Number for MR. GERALD ALLEN STEVENS (ATC, LAT) is 1720069065

Main info

Male
Name
MR. GERALD ALLEN STEVENS (ATC, LAT)
NPI
1720069065
Phone
(904) 880-2424
Address
11945 SAN JOSE BLVD
Enumeration Date
11 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GERALD ALLEN STEVENS (ATC, LAT)

  • San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States

    SUITE 202

    JACKSONVILLE, FL 322231613

    Phone: (904) 880-2424

    Fax: (904) 880-2420

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32223)

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Reviews

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Frequently asked questions

What federal number belongs to MR. GERALD ALLEN STEVENS (ATC, LAT)?
The federal identifier for MR. GERALD ALLEN STEVENS (ATC, LAT) is NPI 1720069065.
Is MR. GERALD ALLEN STEVENS (ATC, LAT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. GERALD ALLEN STEVENS (ATC, LAT)'s specialty in plain language?
Clinically, the directory lists MR. GERALD ALLEN STEVENS (ATC, LAT) with Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where does public data place MR. GERALD ALLEN STEVENS (ATC, LAT)?
The snapshot lists Jacksonville, Florida for MR. GERALD ALLEN STEVENS (ATC, LAT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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