ICON HAIR AND WIGS LLC (NPI# 1952965683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952965683 |
| Entity Type | Organization |
| Organization Name | ICON HAIR AND WIGS LLC |
| Practice Address |
481b Flat Shoals Ave Se Atlanta GA 30316-1913 |
| Practice Telephone | 7708700047 |
| Mailing Telephone | 7708700047 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | TONI NEAL (OWNER) |
| Authorized Official Telephone | 7708700047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
481B FLAT SHOALS AVE SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| 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 |
| 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 |
| 1952395261 | Innovative Orthotics & Rehabilitation Inc | Prosthetic/Orthotic Supplier | 1300 Dekalb Ave Ne, Atlanta, GA 30307-2027 | 2005-09-01 |
| 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.