Mark Icenogle, AT-C
NPI 1306800610 · Athletic Trainer · Lawrenceville, GA
Mark Icenogle, AT-C is a Athletic Trainer provider in Lawrenceville, GA (NPI 1306800610).
Provider details
- NPI number
- 1306800610
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- AT-C
- Sex
- Male
- Sole proprietor
- No
- License
- AT001236 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2008-04-08
Frequently asked questions
- What is Mark Icenogle's NPI number?
- Mark Icenogle's National Provider Identifier (NPI) is 1306800610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Icenogle's specialty?
- Mark Icenogle is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mark Icenogle located?
- Mark Icenogle's practice location on file with NPPES is 758 Old Norcross Rd, Lawrenceville, GA 30045-3385.
- What is Mark Icenogle's phone number?
- The practice phone number listed in the NPPES registry for Mark Icenogle is (678) 985-7190.
- Is Mark Icenogle's NPI active?
- Yes — Mark Icenogle's NPI (1306800610) is active in the NPPES registry as of the last update on 2008-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.