Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jerry Shadbolt, ATC

Athletic Trainer in Sumter, SC · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932192671

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Registry record

Entity type Individual (Type 1)

Name Mr. Jerry Shadbolt

Credential ATC

Sex Male

Practice address 1215 Alice Dr, Sumter, SC, 29150

Phone (803) 778-5223

Enumeration date Aug 29, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 191 (SC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jerry Shadbolt?

Jerry Shadbolt is registered in NPPES with the primary taxonomy of Athletic Trainer. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

Browse all →

William Duvall Athletic Trainer · Sumter, SC NPI 1295826345 James Sease Physical Therapist · Sumter, SC NPI 1124238605 Michele Mausolf Physical Therapy Assistant · Sumter, SC NPI 1730323726 Elizabeth Lee Physical Therapist · Sumter, SC NPI 1891075842 Karen Timmons Physical Therapist · Sumter, SC NPI 1972883932 Megan Buddin Physical Therapy Assistant · Sumter, SC NPI 1356621304 Melissa Timmons Occupational Therapist · Sumter, SC NPI 1265712210 Celeste Blackmon Speech-Language Pathologist · Sumter, SC NPI 1326328378

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.