Jerry Shadbolt, ATC
NPI 1932192671 · Athletic Trainer · Sumter, SC
Jerry Shadbolt, ATC is a Athletic Trainer provider in Sumter, SC (NPI 1932192671).
Provider details
- NPI number
- 1932192671
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- License
- 191 (SC)
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
- 2005-08-29
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Shadbolt's NPI number?
- Jerry Shadbolt's National Provider Identifier (NPI) is 1932192671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Shadbolt's specialty?
- Jerry Shadbolt is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jerry Shadbolt located?
- Jerry Shadbolt's practice location on file with NPPES is 1215 Alice Dr, Sumter, SC 29150-1905.
- What is Jerry Shadbolt's phone number?
- The practice phone number listed in the NPPES registry for Jerry Shadbolt is (803) 778-5223.
- Is Jerry Shadbolt's NPI active?
- Yes — Jerry Shadbolt's NPI (1932192671) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.