Organization Active NPI

Sea Gate Wellness PLLC

  • Clinic/Center
  • Jonesborough, TN
National Provider Identifier
1033717780
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SEA GATE WELLNESS PLLC
Practice address
900 E Jackson Blvd Ste 3B
Jonesborough, TN 37659-1505
Phone
(423) 930-5205
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Xiujiao Li
Title
Manager
Phone
(423) 930-5205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

900 E Jackson Blvd Ste 3B
Jonesborough, TN 37659-1505

Mailing address

900 E Jackson Blvd Ste 3B
Jonesborough, TN 37659-1505
Phone (423) 930-5205

Other names 1

  • Acupuncture and Massage of Jonesborough Doing business as

National Provider Directory

National Provider Directory

Locations

900 E Jackson Blvd
Ste 3B
Jonesborough, TN 37659
Phone (423) 930-5205

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1033717780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E JACKSON BLVD STE 3B",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591505",
            "telephone_number": "423-930-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E JACKSON BLVD STE 3B",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591505",
            "telephone_number": "423-930-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA GATE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIUJIAO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-930-5205"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acupuncture and Massage of Jonesborough",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesborough, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.