Active NPI
Sheela M Eichhorn
- Massage Therapist
- Hinesville, GA
National Provider Identifier
1306466214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 000307
- Practice address
- 951 Elma G Miles Pkwy
Ste B
Hinesville, GA 31313-4514 - Phone
- (912) 876-2206
- Fax
- (912) 877-4030
- NPI assigned
- Apr 21, 2020
- Last updated
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 000307 | GA | Primary |
Addresses
Primary practice location
951 Elma G Miles Pkwy
Ste B
Hinesville, GA 31313-4514
Mailing address
951 Elma G Miles Pkwy
Ste B
Hinesville, GA 31313
Phone (912) 570-9898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306466214 | Other | GA | OPTUM COMMUNITY CARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | director@hinesvilledayspa.com | Health Information Exchange (HIE) | |
| CONNECT URL | director@hinesvilledayspa.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 000307 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinesville Day Spa LLC | Massage Therapist | Current | Accepting new patients |
| Hinesville Day Spa LLC | Current | Accepting new patients |
Locations
951 Elma G Miles Pkwy
Unit B
Hinesville, GA 31313
Phone (912) 876-2206
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Hinesville, GA
- NPI 1619787025
-
- Massage Therapist
- Hinesville, GA
- NPI 1558982660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1306466214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 ELMA G MILES PKWY",
"address_2": "STE B",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "912-570-9898",
"fax_number": "912-877-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 ELMA G MILES PKWY",
"address_2": "STE B",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313134514",
"telephone_number": "912-876-2206",
"fax_number": "912-877-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHHORN",
"first_name": "SHEELA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "000307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM COMMUNITY CARE",
"identifier": "1306466214",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "director@hinesvilledayspa.com",
"affiliation": "N",
"endpointDescription": "free form field",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "951 ELMA G MILES PKWY",
"address_2": "STE B",
"city": "HINESVILLE",
"state": "GA",
"country_code": "US",
"postal_code": "313134514",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "director@hinesvilledayspa.com",
"affiliation": "N",
"endpointDescription": "free form field",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "951 ELMA G MILES PKWY",
"address_2": "STE B",
"city": "HINESVILLE",
"state": "GA",
"country_code": "US",
"postal_code": "31313",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.