Active NPI
Anita R Prendergast
- Massage Therapist
- Atlanta, GA
National Provider Identifier
1700795366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT008633
- Practice address
- 855 Peachtree St NE
Atlanta, GA 30308-7400 - Phone
- (347) 604-3013
- NPI assigned
- Sep 1, 2026
- 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 | MT008633 | GA | Primary |
Addresses
Primary practice location
855 Peachtree St NE
Atlanta, GA 30308-7400
Mailing address
3250 Buford Hwy Apt 1420
Duluth, GA 30096-3694
Phone (347) 604-3013
Other names 1
- Anita R Miles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1700795366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3250 BUFORD HWY APT 1420",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963694",
"telephone_number": "347-604-3013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303087400",
"telephone_number": "347-604-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "ANITA",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT008633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "MILES",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.