MR. SHANNON BRANTLEY (P.T, A.T.C.) – Athletic Trainer, NPI 1609081942

MR. SHANNON BRANTLEY (P.T, A.T.C.) is a healthcare provider. based in Vidalia, Georgia. specializing in Athletic Trainer. They hold the professional credentials P.T, A.T.C.. They hold a License No. PT 007647 (GA). The NPI Number for MR. SHANNON BRANTLEY (P.T, A.T.C.) is 1609081942

Main info

Male
Name
MR. SHANNON BRANTLEY (P.T, A.T.C.)
NPI
1609081942
Phone
(912) 277-2044
Address
101 HARRIS INDUSTRIAL BLVD
Enumeration Date
11 May 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for MR. SHANNON BRANTLEY (P.T, A.T.C.)

  • 101, Harris Industrial Boulevard, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304748845

    Phone: (912) 277-2044

    Type: Location

  • PO BOX 404

    ADRIAN, GA 310020404

    Phone:

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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 ·

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

Insurance plans in this area (ZIP 30474)

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Reviews

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Frequently asked questions

Can I cross-check MR. SHANNON BRANTLEY (P.T, A.T.C.) using NPI 1609081942?
NPI 1609081942 belongs to MR. SHANNON BRANTLEY (P.T, A.T.C.); compare other details if you need extra assurance.
Would MR. SHANNON BRANTLEY (P.T, A.T.C.) appear as active to a payer?
You can treat MR. SHANNON BRANTLEY (P.T, A.T.C.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. SHANNON BRANTLEY (P.T, A.T.C.)?
At a glance, MR. SHANNON BRANTLEY (P.T, A.T.C.) is tied to Athletic Trainer. Clinical services aligned with this taxonomy classification.
Where in Georgia is MR. SHANNON BRANTLEY (P.T, A.T.C.) registered?
Use Vidalia, Georgia as the headline location for MR. SHANNON BRANTLEY (P.T, A.T.C.) here.
When was this NPI issued?
Enumeration for MR. SHANNON BRANTLEY (P.T, A.T.C.) is noted as May 11, 2007 where the registry provides it.

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