MYSTIC MASSAGE
NPI 1003078387
Specialist in Atlanta, GA

NPI Status: Active since June 27, 2008

Contact Information

8725 ROSWELL RD
ATLANTA, GA
ZIP 30350
Phone: (404) 914-1822

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  • Organization
  • Specialist

About MYSTIC MASSAGE

This page provides the complete NPI Profile along with additional information for Mystic Massage, a provider established in Atlanta, Georgia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1003078387 assigned on June 2008. The practitioner's primary taxonomy code is 174400000X with license number MT000319 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Anna Lee Goode Lmt (Owner/operator)

NPI
1003078387
Provider Name
MYSTIC MASSAGE
Entity Type
Organization
Location Address
8725 ROSWELL RD ATLANTA, GA 30350
Location Phone
(404) 914-1822
Mailing Address
2408 SUMMERLAKE DR ATLANTA, GA 30350
Mailing Phone
(404) 914-1822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2008
Last Update Date
06-27-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MT000319
License State
GA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNA LEE GOODE LMT

Authorized Official Title
OWNER/OPERATOR
Authorized Official Phone
(404) 914-1822

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003078387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030716316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 7 + 1 + 6 + 3 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1003078387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

PUBLIX SUPER MARKETS INC

Pharmacy

(Community/Retail Pharmacy)

8725 ROSWELL RD
DUNWOODY, GA
ZIP 30350

(770) 640-5956

SARAH SAMUEL

Pharmacist

8725 ROSWELL RD
SANDY SPRINGS, GA
ZIP 30350

(770) 640-5956

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003078387, enumerated as an "organization" on June 27, 2008.

The provider is located at 8725 ROSWELL RD ATLANTA, GA 30350 and the phone number is (404) 914-1822.

Specialist with taxonomy code 174400000X.