Individual provider Active NPI

Sheela M Eichhorn

  • Massage Therapist
  • Hinesville, GA
National Provider Identifier
1306466214
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
000307 Issued in GA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1306466214OtherGAOPTUM COMMUNITY CARE

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
000307GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hinesville Day Spa LLC Massage Therapist CurrentSince May 3, 2020 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.

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.

Verify at the official NPI Registry.