Individual provider Active NPI

Miriam Aleese Percell Cummings

  • Massage Therapist
  • Decatur, GA
National Provider Identifier
1013848670
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT0095897 Issued in GA
Practice address
4165 Chapel Mill Way
Decatur, GA 30034-5338
Phone
(678) 521-0334
NPI assigned
May 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT0095897 GA Primary

Addresses

Primary practice location

4165 Chapel Mill Way
Decatur, GA 30034-5338

Mailing address

4165 Chapel Mill Way
Decatur, GA 30034-5338
Phone (678) 521-0334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT0095897GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1013848670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 CHAPEL MILL WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345338",
            "telephone_number": "678-521-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 CHAPEL MILL WAY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345338",
            "telephone_number": "678-521-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCELL CUMMINGS",
        "first_name": "MIRIAM",
        "middle_name": "ALEESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT0095897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.