NPIMap

Organization Active NPI

Orchid Vitality Colon and Massage Therapy

  • Health Service Clinic/Center
  • Atlanta, GA
National Provider Identifier
1164901187
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ORCHID VITALITY COLON AND MASSAGE THERAPY
Practice address
244 14TH St NE Ste B
Atlanta, GA 30309-3696
Phone
(678) 390-4306
Fax
(706) 661-0249
NPI assigned
Aug 9, 2018
Organization subpart
Yes
Parent organization
ORCHID VITALITY COLONICS AND MASSAGE THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Mrs. S. Yvette Merriman
Title
Lead Therapist
Phone
(678) 390-4306

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156F00000X
NaturopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175F00000X
HomeopathGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175L00000X
Pharmacy TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183700000X PHTC022614 GA
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MT011362 GA
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

244 14TH St NE Ste B
Atlanta, GA 30309-3696

Mailing address

244 14TH St NE Ste B
Atlanta, GA 30309-3696
Phone (678) 390-4306

Other names 1

  • ORCHID VITALITY Colonics and Massage Therapy Other name

National Provider Directory

National Provider Directory
Part of
Orchid Vitality Colon and Massage Therapy

Locations

244 14th St NE
Ste B
Atlanta, GA 30309
Phone (678) 390-4306

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": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1164901187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 14TH ST NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093696",
            "telephone_number": "678-390-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 14TH ST NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093696",
            "telephone_number": "678-390-4306",
            "fax_number": "706-661-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID VITALITY COLON AND MASSAGE THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORCHID VITALITY COLONICS AND MASSAGE THERAPY",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "678-390-4306",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC022614",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011362",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORCHID VITALITY Colonics and Massage Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.