Individual provider Active NPI

Chauntey Harvey, ESTHETICIAN

  • Reflexologist
  • Conyers, GA
National Provider Identifier
1780414672
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
FS888340 Issued in FL
Practice address
1540 Highway 138 SE Ste 2a
Conyers, GA 30013-5723
Phone
(678) 374-7650
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X FS888340 FL Primary

Addresses

Primary practice location

1540 Highway 138 SE Ste 2a
Conyers, GA 30013-5723

Mailing address

1705 Highway 138 SE Unit 81206
Conyers, GA 30013-0136
Phone (678) 859-3828

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
FS888340FLMDReflexologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Royaltey Group LLC CurrentSince Aug 11, 2024 Accepting new patients

Locations

1540 Highway 138 SE
Ste 2A
Conyers, GA 30013
Phone (678) 374-7650

1705 Highway 138 SE
Unit 81206
Conyers, GA 30013

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1780414672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 HIGHWAY 138 SE UNIT 81206",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300130136",
            "telephone_number": "678-859-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 HIGHWAY 138 SE STE 2A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135723",
            "telephone_number": "678-374-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "CHAUNTEY",
        "name_prefix": "Ms.",
        "credential": "ESTHETICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "FS888340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.