Jeremy Canter, ATC
Specialist/Technologist, Athletic Trainer in Greenville, SC. Individual provider (NPI-1).
NPI number1053710194
StatusActive
Last updated in NPPESAug 14, 2014
Details
- NPI
- 1053710194
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Canter
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 14, 2014
- Last updated
- Aug 14, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 714 | SC | Yes |
Practice location
200 Patewood DrSuite B170
Greenville, SC 29615-3593
Phone 864-454-8340 · Fax 864-454-8341
Mailing address
200 Patewood DrSuite B170
Greenville, SC 29615-3593
Phone 864-454-8340 · Fax 864-454-8341
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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