Active NPI
Gina Willis
- Massage Therapist
- Athens, GA
National Provider Identifier
1356141626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT013287
- Practice address
- 159 Oneta St Ste 4
Athens, GA 30601-1804 - Phone
- (706) 207-4796
- NPI assigned
- Mar 17, 2025
- 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 | MT013287 | GA | Primary |
Addresses
Primary practice location
159 Oneta St Ste 4
Athens, GA 30601-1804
Mailing address
725 Beaverdam Rd Apt F
Winterville, GA 30683-3931
Phone (706) 207-4796
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 |
|---|---|---|---|
| MT013287 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1356141626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 BEAVERDAM RD APT F",
"city": "WINTERVILLE",
"state": "GA",
"postal_code": "306833931",
"telephone_number": "706-207-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 ONETA ST STE 4",
"city": "ATHENS",
"state": "GA",
"postal_code": "306011804",
"telephone_number": "706-207-4796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-17",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT013287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.