Active NPI
Poppy Hill - a Southern Spa
- Massage Therapist
- Richmond Hill, GA
National Provider Identifier
1770044240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- POPPY HILL - A SOUTHERN SPA
- Practice address
- 405 Harris Trail Rd Ste D
Richmond Hill, GA 31324-4675 - Phone
- (912) 239-5380
- NPI assigned
- Mar 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Racquel D. Scott
- Title
- Ceo
- Phone
- (912) 429-3817
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
405 Harris Trail Rd Ste D
Richmond Hill, GA 31324-4675
Mailing address
405 Harris Trail Rd Ste D
Richmond Hill, GA 31324-4675
Phone (912) 239-5380
National Provider Directory
National Provider DirectoryLocations
405 Harris Trail Rd
Ste D
Richmond Hill, GA 31324
Phone (912) 239-5380
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553644800000",
"number": "1770044240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 HARRIS TRAIL RD STE D",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313244675",
"telephone_number": "912-239-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 HARRIS TRAIL RD STE D",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313244675",
"telephone_number": "912-239-5380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POPPY HILL - A SOUTHERN SPA",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "RACQUEL",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "912-429-3817"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.