Individual provider Active NPI

Jeffery Jerome Gutter

  • Massage Therapist
  • Chamblee, GA
National Provider Identifier
1164332656
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT000483 Issued in GA
Practice address
8406 Jefferson Cir N
Chamblee, GA 30341-2679
Phone
(770) 572-3534
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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 MT000483 GA Primary

Addresses

Primary practice location

8406 Jefferson Cir N
Chamblee, GA 30341-2679

Mailing address

8406 Jefferson Cir N
Chamblee, GA 30341-2679
Phone (770) 572-3543

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": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1164332656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 JEFFERSON CIR N",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412679",
            "telephone_number": "770-572-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 JEFFERSON CIR N",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412679",
            "telephone_number": "770-572-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTER",
        "first_name": "JEFFERY",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT000483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.