Dandy Nichols, NMT, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT009639 Issued in GA

Practice address

6065 Roswell Rd Ste 170
Atlanta, GA 30328-4034

Phone

(512) 589-7274

NPI assigned

Oct 26, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1013469915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 HERITAGE LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871858",
            "telephone_number": "512-589-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284034",
            "telephone_number": "512-589-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Lanier Blvd NE",
            "address_2": "Suite 1409-A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30306",
            "country_code": "US",
            "telephone_number": "404-220-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133 Maple Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303052505",
            "country_code": "US",
            "telephone_number": "404-220-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DANDY",
        "name_prefix": "Mr.",
        "credential": "NMT, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "GA",
            "license": "MT009639",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT009639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MT009639",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara D Nichols, D.O.
• Candace McCullough Nichols, PHARMD
• Charles Richard Nichols, LPC
• Charlotte Nichols
• Christopher Nichols, DO
• Eric Nichols, PT, DPT
• Jacqueline Eckert Nichols, PA-C
• Joseph J Nichols Jr., M.D.
• Kayla Anne Nichols, PHARMD, BCCCP
• Kendall James Nichols, MD

• Massage Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.