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SOUTHEN TRANQUILITY MEDISPA, INC.
NPI 1417344433
Clinic/Center in Roanoke Rapids, NC

Active since April 16, 2015
130 CARDINAL DR, ROANOKE RAPIDS, NC 27870(252) 365-4440(252) 308-0862 Get Directions Write a Review

NPPES record last updated: April 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southen Tranquility Medispa, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEN TRANQUILITY MEDISPA, INC. (NPI 1417344433) is a healthcare organization registered as a clinic/center in Roanoke Rapids, North Carolina and active in the NPI registry since April 2015. The organization lists Carlton Reid Beaman, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1417344433
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEN TRANQUILITY MEDISPA, INC.
Location Address130 CARDINAL DRRoanoke Rapids, NC 27870-4946
Mailing Address130 Cardinal DrRoanoke Rapids, NC 27870 · (252) 365-4440 · Fax (252) 308-0862
Phone(252) 365-4440
Fax(252) 308-0862
Organization SubpartNo
Authorized OfficialCarlton Reid BeamanMedical Director/owner · (252) 308-0686
Enumeration DateApril 16, 2015
✔ NPI 1417344433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · 101911
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
130 CARDINAL DR, Roanoke Rapids, NC 27870
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MED FIRST IMMEDIATE CARE & FAMILY PRACTICE PA
Family Medicine
130 CARDINAL DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 308-0686
CARLTON REID BEAMAN JR. PA-C
Physician Assistant
130 CARDINAL DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 308-0686
WILLIAM JOSEPH BURRELL PA-C
Physician Assistant
130 CARDINAL DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 308-0868
DR. GANESH BISSRAM MD
Orthopaedic Surgery
130 CARDINAL DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 535-3091
MRS. LINDA MARIE HEDGES APN-FNP-BC
Nurse Practitioner (Family)
130 CARDINAL DR
ROANOKE RAPIDS, NC 27870
Halifax County (252) 308-0686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southen Tranquility Medispa, Inc.'s NPI number?

The NPI number for Southen Tranquility Medispa, Inc. is 1417344433. It was assigned to this organization in the NPPES registry on April 16, 2015.

Where is Southen Tranquility Medispa, Inc. located?

Southen Tranquility Medispa, Inc. is located at 130 Cardinal Dr, Roanoke Rapids, NC 27870. The listed phone number is (252) 365-4440.

What is Southen Tranquility Medispa, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southen Tranquility Medispa, Inc. was last updated on April 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.