Skin Invy Esthetics & Massage Salon LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SKIN INVY ESTHETICS & MASSAGE SALON LLC

Practice address

807 Oakhurst Dr Ste B
Evans, GA 30809-3713

Phone

(706) 829-8038

Fax

(706) 496-8541

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Clotelia Williams, LMT, LPN, ACLP, LENPI 1316708084

Title

Registered Agent/Owner/Employee

Phone

(706) 829-8038

Specialties & licenses 2

Addresses

Other names 4

• Skin Invy Doing business as
• Skin Invy Esthetics & Massage Salon Doing business as
• Skin Invy Salon Doing business as
• Skin Invy Wellness & Aesthetics LLC Salon Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Clotelia Williams, LPN, LMT

  • Massage Therapist
  • Evans, GA
  • NPI 1316708084

  Licensed Practical Nurse

  NPD Authorized official
• Keith King

  • Massage Therapist
  • Augusta, GA
  • NPI 1982499901
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1104503390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 OAKHURST DR STE B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093713",
            "telephone_number": "706-828-9803",
            "fax_number": "706-496-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 OAKHURST DR STE B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093713",
            "telephone_number": "706-829-8038",
            "fax_number": "706-496-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN INVY ESTHETICS & MASSAGE SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CLOTELIA",
        "authorized_official_title_or_position": "REGISTERED AGENT/OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "706-829-8038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, LPN, ACLP, LE"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Invy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skin Invy Esthetics & Massage Salon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skin Invy Salon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skin Invy Wellness & Aesthetics LLC Salon",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Linda Simanski, RN
• David Collins Simonds, D.M.D.
• Cheyenne Sims, BS IN PSYCHOLOGY
• Meenu G Singhal, MD
• Christina Mary Johnson Skariah, DO
• Hunter Reid Slack
• Darlene Renee Slappey Bates, LPC
• Smile Now Dental Clinic
• Allyson Meredith Smith
• April Savage Smith, CCC-SLP

• Massage Therapist in Evans, GA
• Providers in Evans, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.