REAL CUSTOM HAIR (NPI# 1780137844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780137844 |
| Entity Type | Organization |
| Organization Name | REAL CUSTOM HAIR |
| Practice Address |
2451 Cumberland Pkwy Se 300-3711 Atlanta GA 30339-6136 |
| Practice Telephone | 6787336466 |
| Mailing Telephone | 6787336466 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | NIKKI BELL (CEO) |
| Authorized Official Telephone | 6787336466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | CO094395 | GA | Suppliers |
| Street Address |
2451 CUMBERLAND PKWY SE 300-3711 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587020 | Sandra Laforest White | Internal Medicine | 2451 Cumberland Pkwy Se, Suite 3311, Atlanta, GA 30339-6136 | 2005-12-02 |
| 1104435486 | Olivia Nechvatal | Pharmacist | 2451 Cumberland Pkwy Se, Atlanta, GA 30339-6136 | 2020-07-23 |
| 1649823071 | Courtney D Knight | Pharmacist | 2451 Cumberland Pkwy Se, Atlanta, GA 30339-6136 | 2019-07-24 |
| 1851860100 | Faith Christine Cayobit | Pharmacist | 2451 Cumberland Pkwy Se, Atlanta, GA 30339-6136 | 2018-11-15 |
| 1588172712 | Jessica Swain | Pharmacist | 2451 Cumberland Pkwy Se, Atlanta, GA 30339-6136 | 2018-01-23 |
| 1134644651 | Megan White | Pharmacist | 2451 Cumberland Pkwy Se, Atlanta, GA 30339-6136 | 2017-08-05 |
| 1649715731 | Nikki Bell | Specialist | 2451 Cumberland Pkwy Se, 3711, Atlanta, GA 30339-6136 | 2016-12-27 |
| 1457808701 | Michie Summers-perez | Social Worker | 2451 Cumberland Pkwy Se, Suite 3539, Atlanta, GA 30339-6136 | 2016-09-03 |
| 1174988877 | Steven Rush | Pharmacist | 2451 Cumberland Pkwy Se, Atlanta, GA 30339-6136 | 2015-12-22 |
| 1306227046 | Austen Mark Junior | Pharmacist | 2451 Cumberland Pkwy Se, Atlanta, GA 30339-6136 | 2015-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
| 1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1174185482 | Glamore Hair | Prosthetic/Orthotic Supplier | 2275 Marietta Blvd Nw Ste 270-384, Atlanta, GA 30318-2004 | 2019-07-08 |
| 1952965683 | Icon Hair and Wigs LLC | Prosthetic/Orthotic Supplier | 481b Flat Shoals Ave Se, Atlanta, GA 30316-1913 | 2019-04-29 |
| 1053838979 | Brandy Nikia Respert | Prosthetic/Orthotic Supplier | 4705 Ashford Dunwoody Rd Ste 18, Atlanta, GA 30338-5566 | 2017-08-23 |
| 1720432974 | Zephyr Salon | Prosthetic/Orthotic Supplier | 335 Hammond Dr, Atlanta, GA 30328-5020 | 2016-04-13 |
| 1053749341 | Absolute Image Consulting Inc. | Prosthetic/Orthotic Supplier | 8323 Dunwoody Pl, Atlanta, GA 30350-3307 | 2013-10-23 |
| 1760786859 | M&m Foot Solutions | Prosthetic/Orthotic Supplier | 6307 Roswell Rd Ne Ste B, Atlanta, GA 30328-3200 | 2011-01-04 |
| 1881611838 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 3500 Peachtree Rd Ne Ste A1, Atlanta, GA 30326-1231 | 2006-07-16 |
| 1811913239 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 4390 Ashford Dunwoody Rd Ne, Atlanta, GA 30346-1504 | 2006-07-15 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.