Shanavia Dickerson
NPI 1104439975 · Massage Therapist · Jonesboro, GA
Shanavia Dickerson is a Massage Therapist provider in Jonesboro, GA (NPI 1104439975).
Provider details
- NPI number
- 1104439975
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT012487 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-31
- Last updated
- 2020-08-31
- Certified
- 2020-08-31
Frequently asked questions
- What is Shanavia Dickerson's NPI number?
- Shanavia Dickerson's National Provider Identifier (NPI) is 1104439975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shanavia Dickerson's specialty?
- Shanavia Dickerson is listed in the NPPES registry with a primary specialty of Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shanavia Dickerson located?
- Shanavia Dickerson's practice location on file with NPPES is 1731 Tilden Ave, Jonesboro, GA 30236-3744.
- What is Shanavia Dickerson's phone number?
- The practice phone number listed in the NPPES registry for Shanavia Dickerson is (470) 549-5131.
- Is Shanavia Dickerson's NPI active?
- Yes — Shanavia Dickerson's NPI (1104439975) is active in the NPPES registry as of the last update on 2020-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.