Individual provider Active NPI

Jennifer Davis, LMT, MMP

  • Massage Therapist
  • Atlanta, GA
National Provider Identifier
1053961441
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT000838 Issued in GA
Practice address
3161 Howell Mill Rd NW Ste 330
Atlanta, GA 30327-2133
Phone
(678) 755-9522
Fax
(678) 608-3217
NPI assigned
Sep 17, 2019
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 MT000838 GA Primary

Addresses

Primary practice location

3161 Howell Mill Rd NW Ste 330
Atlanta, GA 30327-2133

Mailing address

PO Box 1685
Palm Harbor, FL 34682-1685
Phone (727) 287-6300

Other practice location 1

3350 Northlake Pkwy NE
Atlanta, GA 30345-2204
Phone (470) 836-0489

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
MT000838GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Zen Therapeutics LLC Massage Therapist Current Accepting new patients
Georgia Occmed LLC Past Accepting new patients
Orthopaedic & Spine Surgery of Atlanta Past Accepting new patients

Locations

3350 Northlake Pkwy NE
Atlanta, GA 30345
Phone (404) 457-2468

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1053961441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1685",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346821685",
            "telephone_number": "727-287-6300",
            "fax_number": "727-287-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD NW STE 330",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272133",
            "telephone_number": "678-755-9522",
            "fax_number": "678-608-3217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 Northlake Pkwy NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303452204",
            "country_code": "US",
            "telephone_number": "470-836-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "credential": "LMT, MMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT000838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.