Medical Massage of Coweta, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT002072 Issued in GA

Legal business name

MEDICAL MASSAGE OF COWETA, LLC

Practice address

3025B Sharpsburg McCullum Rd Ste 108
Newnan, GA 30265-6107

Phone

(678) 590-8040

Fax

(347) 823-8404

NPI assigned

Aug 13, 2018

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Talley, LMT, MMPNPI 1619176278

Title

Medical Massage Therapist

Phone

(678) 590-8040

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Michelle Talley, LMT

  • Massage Therapist
  • Newnan, GA
  • NPI 1619176278
  NPD Authorized official

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1598244253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025B HWY 154",
            "address_2": "SUITE 108",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656107",
            "telephone_number": "678-590-8040",
            "fax_number": "347-823-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025B SHARPSBURG MCCULLUM RD STE 108",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656107",
            "telephone_number": "678-590-8040",
            "fax_number": "347-823-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE OF COWETA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MEDICAL MASSAGE THERAPIST",
        "authorized_official_telephone_number": "678-590-8040",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT002072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619176278",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert McNeal
• Christopher Clifton McWilliams, CRNA
• J'Netra Brown McWilliams, LPC
• Amy Meason, NP-C
• Melissa Mecadon-Mann, PHD
• Medpeach Consulting, LLC
• Caroline Mae Mehaffie
• Sharvil Mehta, PHARMD
• Kimberly M Melson
• Eyvette Mendoza-Maggett

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.