Active NPI
Wigsbycinnamon
Doing business as WigsByCinnamon Medical
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1013605716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- WIGSBYCINNAMON
- Doing business as
- WigsByCinnamon Medical
- Practice address
- 1851 Chamblee Tucker Rd Ste 115
Atlanta, GA 30341-2737 - Phone
- (702) 664-9875
- NPI assigned
- May 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jazzreeal Jones
- Title
- Owner
- Phone
- (702) 664-9875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
1851 Chamblee Tucker Rd Ste 115
Atlanta, GA 30341-2737
Mailing address
1303 Oglethorpe Dr NE
Brookhaven, GA 30319-2785
Other names 1
- WigsByCinnamon Medical
National Provider Directory
National Provider DirectoryLocations
1851 Chamblee Tucker Rd
Ste 115
Atlanta, GA 30341
Phone (702) 664-9875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1013605716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 OGLETHORPE DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303192785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 CHAMBLEE TUCKER RD STE 115",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303412737",
"telephone_number": "702-664-9875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIGSBYCINNAMON",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-04-29",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "JAZZREEAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-664-9875"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WigsByCinnamon Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.