Active NPI
Beyond a Spa
- Massage Therapist
- Conyers, GA
National Provider Identifier
1093592115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- BEYOND A SPA
- Practice address
- 2111 Flat Shoals Rd SE Ste 102
Conyers, GA 30013-1826 - Phone
- (470) 989-2473
- NPI assigned
- Sep 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tahannie Williams, LMT
- Title
- Owner
- Phone
- (470) 989-2473
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
2111 Flat Shoals Rd SE Ste 102
Conyers, GA 30013-1826
Mailing address
2137 Hickory BND SE Apt B
Conyers, GA 30013-2117
Phone (770) 349-5990
National Provider Directory
National Provider DirectoryLocations
2111 Flat Shoals Rd SE
Ste 102
Conyers, GA 30013
Phone (470) 989-2473
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Conyers, GA
- NPI 1669259776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694476800000",
"number": "1093592115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 HICKORY BND SE APT B",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132117",
"telephone_number": "770-349-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 FLAT SHOALS RD SE STE 102",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131826",
"telephone_number": "470-989-2473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEYOND A SPA",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TAHANNIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-989-2473",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.