Andrea Clotelia Williams, LPN, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT014583 Issued in GA

Practice address

807 Oakhurst Dr Ste B
Evans, GA 30809-3713

Phone

(706) 829-8038

Fax

(706) 496-8541

NPI assigned

Jan 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Skin Invy Esthetics & Massage Salon LLC

  • Massage Therapist
  • Evans, GA
  • NPI 1104503390

  Licensed Practical Nurse

  NPD Authorized official

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1316708084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 LAKEWOOD DR",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308131250",
            "telephone_number": "706-829-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 OAKHURST DR STE B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093713",
            "telephone_number": "706-829-8038",
            "fax_number": "706-496-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREA",
        "middle_name": "CLOTELIA",
        "name_prefix": "Mrs.",
        "credential": "LPN, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN065382",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "LMT014583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Widener
• Lauren Ourt Wieme, PA-C
• Allissa Yvonne Wiggins
• William M. Rice, D.C., P.C.
• Amy Spillers Williams, FNP
• Ashley Williams, LPN
• Autumn Williams
• David Clayton Williams, MD
• Dennis A Williams, MD
• Erica Williams, RBT

• Massage Therapist in Evans, GA
• Providers in Evans, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.