Active NPI
Solomon Smith
- Massage Therapist
- Douglasville, GA
National Provider Identifier
1326701756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 12411 Veterans Memorial Hwy Ste 3
Douglasville, GA 30134-2054 - Phone
- (470) 724-1027
- NPI assigned
- Oct 21, 2021
- Sex
- Male
- 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 | GA | Primary |
Addresses
Primary practice location
12411 Veterans Memorial Hwy Ste 3
Douglasville, GA 30134-2054
Mailing address
2500 Pleasant Hill Rd Apt 1123
Duluth, GA 30096-4180
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1326701756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 PLEASANT HILL RD APT 1123",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12411 VETERANS MEMORIAL HWY STE 3",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342054",
"telephone_number": "470-724-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SOLOMON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.