Individual provider Active NPI

Kellie Joiner, LMT

  • Massage Therapist
  • Martinez, GA
National Provider Identifier
1205560950
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
011847 Issued in GA
Practice address
211 Bobby Jones Expy Ste C
Martinez, GA 30907-5253
Phone
(706) 860-3355
Fax
(706) 860-8765
NPI assigned
Jul 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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 011847 GA Primary

Addresses

Primary practice location

211 Bobby Jones Expy Ste C
Martinez, GA 30907-5253

Mailing address

211 Bobby Jones Expy Ste C
Martinez, GA 30907-5253
Phone (706) 860-3355

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

State licenses

LicenseStateTypeSpecialty
011847GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1205560950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BOBBY JONES EXPY STE C",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075253",
            "telephone_number": "706-860-3355",
            "fax_number": "706-860-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BOBBY JONES EXPY STE C",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075253",
            "telephone_number": "706-860-3355",
            "fax_number": "706-860-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER",
        "first_name": "KELLIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "011847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.