Great Massage and Facial Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GREAT MASSAGE AND FACIAL SPA

Practice address

100 Pavilion Way
Southern Pines, NC 28387-4559

Phone

(910) 315-0402

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Lillian Imose Obazee, LPN

Title

Ceo

Phone

(470) 643-1175

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Osemwegie Eghidemwivbie, LMBT, AAS, PT

  • Massage Therapist
  • Southern Pines, NC
  • NPI 1730750746
  NPD
• Kaylie Alexandra Hebert, LMBT

  • Massage Therapist
  • Southern Pines, NC
  • NPI 1114652146
  NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1568115673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PAVILION WAY STE E",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874560",
            "telephone_number": "910-315-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PAVILION WAY",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874559",
            "telephone_number": "910-315-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT MASSAGE AND FACIAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "OBAZEE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "IMOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-643-1175",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lequita Gould
• Jennifer Gradolf, M.S.
• Shelby Kailin Grandolfo
• Jason Richard Graves, DMD
• Erin Cannon Gray, CPNP-PC
• Greater Image Healthcare Corp
• Melani Green, LPC
• Samantha Green
• Katharine Rae Rae Greenthal
• Lauren Gregg

• Massage Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.