OrganizationActive
Southen Tranquility Medispa, Inc.
NPI 1417344433 · Clinic/Center · Roanoke Rapids, NC
Southen Tranquility Medispa, Inc. is a Clinic/Center organization in Roanoke Rapids, NC (NPI 1417344433).
Provider details
- NPI number
- 1417344433
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carlton Beaman, Medical Director/Owner(252) 308-0686
- License
- 101911 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
130 Cardinal Dr
Roanoke Rapids, NC 27870-4946
Phone: (252) 365-4440
Fax: (252) 308-0862
Street-level locationGet directions
Mailing address
130 Cardinal Dr
Roanoke Rapids, NC 27870
Registry dates
- Enumerated
- 2015-04-16
- Last updated
- 2015-04-16
Frequently asked questions
- What is Southen Tranquility Medispa, Inc.'s NPI number?
- Southen Tranquility Medispa, Inc.'s National Provider Identifier (NPI) is 1417344433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southen Tranquility Medispa, Inc.?
- Southen Tranquility Medispa, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southen Tranquility Medispa, Inc. located?
- Southen Tranquility Medispa, Inc.'s practice location on file with NPPES is 130 Cardinal Dr, Roanoke Rapids, NC 27870-4946.
- What is Southen Tranquility Medispa, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Southen Tranquility Medispa, Inc. is (252) 365-4440.
- Who is the authorized official for Southen Tranquility Medispa, Inc.?
- The authorized official listed on Southen Tranquility Medispa, Inc.'s NPPES record is Carlton Beaman, Medical Director/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southen Tranquility Medispa, Inc.'s NPI active?
- Yes — Southen Tranquility Medispa, Inc.'s NPI (1417344433) is active in the NPPES registry as of the last update on 2015-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.