Active NPI
Michelle Campbell, M.T.
- Massage Therapist
- Newnan, GA
National Provider Identifier
1881881654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT002959
- Practice address
- 197 Jefferson Parkway
Newnan, GA 30263 - Phone
- (770) 683-9105
- Fax
- (770) 683-9107
- NPI assigned
- Sep 26, 2007
- Last updated
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT002959 | GA | Primary |
Addresses
Primary practice location
197 Jefferson Parkway
Newnan, GA 30263
Mailing address
197 Jefferson Parkway
Newnan, GA 30263
Phone (770) 683-9105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT002959 | Other | GA | MASSAGE THERAPIST |
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT002959 | GA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1881881654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 JEFFERSON PARKWAY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30263",
"telephone_number": "770-683-9105",
"fax_number": "770-683-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 JEFFERSON PARKWAY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30263",
"telephone_number": "770-683-9105",
"fax_number": "770-683-9107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT002959",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "MT002959",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.