Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tammy Pack , LMT

Massage Therapist β€’ Rincon, GA

Active NPI 1265832307 Individual Practitioner Female Practitioner
Practice location in NPPES

420 N Columbia Ave
Rincon, GA 313266806

Call 9128263624 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

420 N Columbia Ave

Rincon, GA 313266806

Telephone 9128263624
Organization at the Same NPPES Address or Phone
Serenity & Body Wellness Llc Facility NPI 1740633692

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Rincon and Georgia

2 active clinicians are listed under Massage Therapist with a practice address in Rincon, GA (1,333 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES GA MT009777

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Technician, Pathology - Phlebotomy

NUCC Taxonomy Code: 246RP1900X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2019

Technician, Pathology

βœ…
NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 26, 2014

Registered at 420 N COLUMBIA AVE, RINCON, GA 313266806 (Tel: 9128263624)

πŸ“
Business Mailing Address (Initial Record) August 26, 2014

Registered at PO BOX 2255, RINCON, GA 313262255 (Tel: 9128263624)

πŸ‘€
Provider Name / Credentials (Initial Record) August 26, 2014

Recorded as TAMMY PACK, LMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Massage Therapist (license number reported to NPPES: GA MT009777)

🟒
Initial NPI Registration & Enumeration August 26, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265832307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2014
Last Update: June 19, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 2255

Rincon, GA 313262255

Phone: 9128263624

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.