Tea House Esthetics LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TEA HOUSE ESTHETICS LLC

Practice address

1042 Northside Drive NE
M210
Atlanta, GA 30324

Phone

(470) 538-7129

NPI assigned

Dec 4, 2025

Last updated

Dec 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tori Sims

Title

Director

Phone

(470) 538-7129

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1841153194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 NORTHSIDE DRIVE NE",
            "address_2": "M210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 NORTHSIDE DRIVE NE",
            "address_2": "M210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30324",
            "telephone_number": "470-538-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEA HOUSE ESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-538-7129",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.