Individual provider Active NPI

Jamaica Bionka Mattox

  • Massage Therapist
  • Marietta, GA
National Provider Identifier
1629923222
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT014132 Issued in GA
Practice address
2993 Sandy Plains Rd Ste 225
Marietta, GA 30066-4695
Phone
(740) 487-2232
Fax
(740) 487-2232
NPI assigned
Feb 28, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MT014132 GA Primary

Addresses

Primary practice location

2993 Sandy Plains Rd Ste 225
Marietta, GA 30066-4695

Mailing address

2556 Fairlawn Downs NW
Kennesaw, GA 30144-6181
Phone (740) 487-2232

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

LicenseStateTypeSpecialty
MT014132GAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1772236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1629923222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 FAIRLAWN DOWNS NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446181",
            "telephone_number": "740-487-2232",
            "fax_number": "740-487-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 SANDY PLAINS RD STE 225",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664695",
            "telephone_number": "740-487-2232",
            "fax_number": "740-487-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "JAMAICA",
        "middle_name": "BIONKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-28",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT014132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.