Individual provider Active NPI

Georgia T Burbulis, LMT

  • Massage Therapist
  • Sandy Springs, GA
National Provider Identifier
1760935811
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
011128 Issued in GA
Practice address
6667 Vernon Woods Dr Ste B27
Sandy Springs, GA 30328-3216
Phone
(770) 617-3446
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 011128 GA Primary

Addresses

Primary practice location

6667 Vernon Woods Dr Ste B27
Sandy Springs, GA 30328-3216

Mailing address

704 Willowwind Dr
Loganville, GA 30052-6601
Phone (770) 617-3446

Other practice location 1

6255 Barfield Rd
Suite 145
Atlanta, GA 30328-4319
Phone (404) 920-8492

Other identifiers 1

IdentifierTypeStateIssuer
011128OtherGALICENSED MASSAGE THERAPIST

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
011128GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Touch of Health, LLC PastSince Oct 2, 2018 Accepting new patients

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1760935811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WILLOWWIND DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526601",
            "telephone_number": "770-617-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR STE B27",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283216",
            "telephone_number": "770-617-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6255 Barfield Rd",
            "address_2": "Suite 145",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284319",
            "country_code": "US",
            "telephone_number": "404-920-8492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURBULIS",
        "first_name": "GEORGIA",
        "middle_name": "T",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "011128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MASSAGE THERAPIST",
            "identifier": "011128",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.