Active NPI
Shania Marie Palmer, LMT
- Massage Therapist
- Woodstock, GA
National Provider Identifier
1700754785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT015618
- Practice address
- 12045 Highway 92
Woodstock, GA 30188-4499 - Phone
- (404) 844-9615
- NPI assigned
- Oct 29, 2025
- Last updated
- Oct 29, 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 | MT015618 | GA | Primary |
Addresses
Primary practice location
12045 Highway 92
Woodstock, GA 30188-4499
Mailing address
1281 Sedgefield Rd
Marietta, GA 30062-2351
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 |
|---|---|---|---|
| MT015618 | GA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Spine and Physical Medicine | Multi-Specialty | Current | Accepting new patients |
Locations
12045 Highway 92
Woodstock, GA 30188
Phone (404) 644-9615
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1700754785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1281 SEDGEFIELD RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12045 HIGHWAY 92",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884499",
"telephone_number": "404-844-9615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "SHANIA",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT015618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.