John Robert Mack, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT006633 Issued in GA

Practice address

3475 N Desert Dr Ste 1104
East Point, GA 30344-5723

Phone

(404) 594-2777

NPI assigned

Jul 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mind Influence LLC

  • Massage Therapist
  • East Point, GA
  • NPI 1740162155
  NPD Authorized official

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1225928617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 VENTURE DR",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301223986",
            "telephone_number": "404-594-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 N DESERT DR STE 1104",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445723",
            "telephone_number": "404-594-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT006633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lula Gilliam & Associates, Inc
• Luxottica of America Inc.
• Tincie Marie Lynch
• Destiny Lacara Mack
• Dominic Mack, MD
• David Joseph Malebranche, M.D., M.P.H
• Ljubica Blaze Malinajdovska-Bass, PH.D., LPC
• Andrew James Malinchak, D.O.
• Mark Lynn OD & Associates PC
• Louis G Martin, MD

• Massage Therapist in East Point, GA
• Providers in East Point, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.