NPIMap

Organization Active NPI

Hairslayers Salon & Boutique

  • Prosthetics Case Management
  • Tifton, GA
National Provider Identifier
1003366444
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CO121134 Issued in GA
Legal business name
HAIRSLAYERS SALON & BOUTIQUE
Practice address
111 Cypress Ridge Rd
Tifton, GA 31794-1671
Phone
(229) 392-4303
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yolonda T JohnsonNPI 1801351853
Title
Certified Hair Loss Specialist
Phone
(229) 392-4303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X CO121134 GA Primary

Addresses

Primary practice location

111 Cypress Ridge Rd
Tifton, GA 31794-1671

Mailing address

PO Box 648
Tifton, GA 31793-0648

Other names 1

  • Hair Restoration Institute of Georgia Other name

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1003366444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317930648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CYPRESS RIDGE RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941671",
            "telephone_number": "229-392-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRSLAYERS SALON & BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "YOLONDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CERTIFIED HAIR LOSS SPECIALIST",
        "authorized_official_telephone_number": "229-392-4303"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO121134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hair Restoration Institute of Georgia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.