Jacob Edward Anderson, MS, ATC, OTC, SA-C
NPI 1053585828ActiveIndividual· Specialist/Technologist, Athletic Trainer· Franklin, TN
Specialist/Technologist, Athletic Trainer (MS, ATC, OTC, SA-C) in Franklin, Tennessee, with an NPI issued in April 2008.
Overview
| NPI | 1053585828 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, ATC, OTC, SA-C |
| Sole proprietor | No |
| NPI issued | Apr 14, 2008 |
| Last updated in NPPES | Sep 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | — | — |
| Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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