Slone Nifong Sr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT012324 Issued in GA

Practice address

108 Colony Park Dr Ste 400-a
Cumming, GA 30040-2797

Phone

(678) 978-0121

NPI assigned

Feb 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alliance Sports Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Alpharetta, GA
  • NPI 1841825122
  NPD (past)

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1871307181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 APPLE ROSE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045757",
            "telephone_number": "770-262-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COLONY PARK DR STE 400-A",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402797",
            "telephone_number": "678-978-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6110 McFarland Station Dr Unit 400",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300046806",
            "country_code": "US",
            "telephone_number": "770-851-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIFONG",
        "first_name": "SLONE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT012324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thu Anh Nguyen
• Nicdao Chiropractic L.L.C.
• Kristina Gail Nichols, NP-C
• Emma Grace Nicholson, M.ED.
• Erika Nicholson
• Geocobi C Nnadi, CSFA
• No Longer Bound, Inc.
• Adrian L Noble, AT-C
• Abbey Morgan Noel
• Ashley Michelle Nollenberger, LPC

• Massage Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Massage Therapist in Georgia

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