Organization Active NPI

Beyond a Spa

  • Massage Therapist
  • Conyers, GA
National Provider Identifier
1093592115
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
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

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Tahannie Williams, LMTNPI 1669259776
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)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.