Active NPI
Donelle Julene McGaw, LMT
- Massage Therapist
- Decatur, GA
National Provider Identifier
1093329435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 008830
- Practice address
- 2641 E College Ave Apt 504
Decatur, GA 30030-3316 - Phone
- (678) 670-7179
- NPI assigned
- Sep 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 008830 | GA | Primary |
Addresses
Primary practice location
2641 E College Ave Apt 504
Decatur, GA 30030-3316
Mailing address
2641 E College Ave Apt 504
Decatur, GA 30030-3316
Phone (678) 670-7179
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1093329435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2641 E COLLEGE AVE APT 504",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303316",
"telephone_number": "678-670-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2641 E COLLEGE AVE APT 504",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303316",
"telephone_number": "678-670-7179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAW",
"first_name": "DONELLE",
"middle_name": "JULENE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "008830",
"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 Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.