Juanita Ross, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT013707 Issued in GA

Practice address

1807 Over Lake Dr SE Ste C
Conyers, GA 30013-1765

Phone

(678) 216-8913

NPI assigned

Aug 1, 2024

Sex

Female

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.

• Arete Therapeutics LLC

  • Massage Therapist
  • Conyers, GA
  • NPI 1508726563
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1245069772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 WISTERIA WAY",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167249",
            "telephone_number": "678-216-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 OVER LAKE DR SE STE C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131765",
            "telephone_number": "678-216-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JUANITA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT013707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald S. Cavola, DDS, PC
• Andrea A Rose, FNP
• Latricia Cierra Rose, FNP
• Beverly D. Roseberry, APRN
• Adrianne J Ross, D.P.M.
• Michelle A Ross, M.D.
• Royal Court of Esther Inc
• Royal Medical Transportation
• Joie Royer, RBT
• Roziekatore LLC

• All providers in Conyers, GA
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.