Active NPI
Joselyn Spann
- Massage Therapist
- McDonough, GA
National Provider Identifier
1316425333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT007024
- Practice address
- 97 Atlanta St
McDonough, GA 30253-2192 - Phone
- (404) 917-7203
- NPI assigned
- Aug 1, 2018
- 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 | MT007024 | GA | Primary |
Addresses
Primary practice location
97 Atlanta St
McDonough, GA 30253-2192
Mailing address
1527 Upchurch Rd
McDonough, GA 30252-2870
Phone (404) 917-7203
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 |
|---|---|---|---|
| MT007024 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1316425333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1527 UPCHURCH RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302522870",
"telephone_number": "404-917-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 ATLANTA ST",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302532192",
"telephone_number": "404-917-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANN",
"first_name": "JOSELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT007024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
- Southern Crescent Rehabilitation and Retirement Community, Inc
- Southern Grace Healthcare
- Southern Grace Hospice and Palliative Care
- Farah Southwell, MS, LPC, CPCS
- Robert Sowell, M.S.
- Specified Solutions Surgical Associates, Inc.
- Spectrum Health Services
- Spectrum Rehabilitation Services, Inc
- Speech Therapy Et Al LLC
- Alice M Speight
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.