MJM GTT Spa LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

MJM GTT SPA LLC

Practice address

605 41St St Ste D-3
Tuscaloosa, AL 35405-3700

Phone

(205) 331-7802

NPI assigned

Dec 1, 2025

Organization subpart

No

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

Authorized official

Name

Tamesha Lasha Bonner

Title

RN

Phone

(205) 331-7802

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1245192160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 41ST ST STE D-3",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053700",
            "telephone_number": "205-331-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 41ST ST STE D-3",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053700",
            "telephone_number": "205-331-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJM GTT SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "TAMESHA",
        "authorized_official_middle_name": "LASHA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "205-331-7802"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisbeth C Mitchell, LCSW
• Caleb A Mixon
• Susana Mixson, PHARM.D.
• Shirley Jean Mizell, RN, HEALTH EDUCATOR
• Ally Pritchett Mizerany
• Modern Day Living Cerified Residential Facility
• Stacey Epperson Moffitt, PA
• Shuaib Mohamed, M.D.
• Mark Mohler, M.S., ATC
• Brian M Monroe, PHD, LMFT

• Registered Nurse in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.