Individual provider Active NPI

George Cook Jr.

  • Massage Therapist
  • Fayetteville, GA
National Provider Identifier
1669323770
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT011478 Issued in GA
Practice address
275 Pavilion Pkwy Ste 113
Fayetteville, GA 30214-4065
Phone
(678) 208-4642
NPI assigned
Feb 5, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 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: 193200000X MULTI-SPECIALTY GROUP 225700000X MT011478 GA Primary

Addresses

Primary practice location

275 Pavilion Pkwy Ste 113
Fayetteville, GA 30214-4065

Mailing address

275 Pavilion Pkwy Ste 113
Fayetteville, GA 30214-4065
Phone (678) 208-4642

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
MT011478GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Therapy by George Massages LLC Multi-Specialty Current Accepting new patients

Locations

275 Pavilion Pkwy
Ste 113
Fayetteville, GA 30214
Phone (678) 208-4642

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1669323770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PAVILION PKWY STE 113",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144065",
            "telephone_number": "678-208-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PAVILION PKWY STE 113",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144065",
            "telephone_number": "678-208-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "GEORGE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.