Organization Active NPI

Amazing Wellness Way LLC

  • Massage Therapist
  • Lilburn, GA
National Provider Identifier
1831700467
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
AMAZING WELLNESS WAY LLC
Practice address
4765 Stone Mountain Hwy Ste C
Lilburn, GA 30047-4691
Phone
(404) 247-9892
NPI assigned
Aug 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Mrs. Mazzie Smalls-Mays
Title
Owner
Phone
(404) 247-9892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4765 Stone Mountain Hwy Ste C
Lilburn, GA 30047-4691

Mailing address

4765 Stone Mountain Hwy Ste C
Lilburn, GA 30047-4691
Phone (404) 247-9892

National Provider Directory

National Provider Directory

Locations

4765 Stone Mountain Hwy
Ste C
Lilburn, GA 30047
Phone (404) 247-9892

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1831700467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 STONE MOUNTAIN HWY STE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474691",
            "telephone_number": "404-247-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 STONE MOUNTAIN HWY STE C",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474691",
            "telephone_number": "404-247-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING WELLNESS WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "SMALLS-MAYS",
        "authorized_official_first_name": "MAZZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-247-9892",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.