Skin Invy Esthetics & Massage Salon LLC
NPI 1104503390ActiveOrganization· Massage Therapist· Evans, GA
Massage Therapist in Evans, Georgia, registered in NPPES in June 2023. The authorized official on file is Andrea Clotelia Williams, LMT, LPN, ACLP, LE, Registered Agent/Owner/Employee.
Overview
| NPI | 1104503390 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2023 |
| Last updated in NPPES | Sep 3, 2025 |
| Certified by provider | Sep 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Massage Therapist Primary | 225700000X | — | — |
| Licensed Practical Nurse | 164W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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