Active NPI
Karmon M Simmons, LMT
- Massage Therapist
- Fayetteville, GA
National Provider Identifier
1265944805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT010908
- Practice address
- 90 Commerce Dr Ste C
Fayetteville, GA 30214-7519 - Phone
- (678) 519-2036
- Fax
- (678) 519-2036
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT010908 | GA | Primary |
Addresses
Primary practice location
90 Commerce Dr Ste C
Fayetteville, GA 30214-7519
Mailing address
7285 Merlin Way
Riverdale, GA 30296-1564
Phone (202) 702-1101
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
| License | State | Type | Specialty |
|---|---|---|---|
| MT010908 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Hands Massage Studio | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Massage Therapist
- Fayetteville, GA
- NPI 1659883205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509667200000",
"number": "1265944805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7285 MERLIN WAY",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302961564",
"telephone_number": "202-702-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 COMMERCE DR STE C",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147519",
"telephone_number": "678-519-2036",
"fax_number": "678-519-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KARMON",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-03",
"last_updated": "2017-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT010908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.