NPIMap

Organization Active NPI

Trichology Hair Loss Prevention

  • VA Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1013629963
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
TRICHOLOGY HAIR LOSS PREVENTION
Practice address
470 Knollwood St
Winston Salem, NC 27103-3426
Phone
(336) 986-9063
NPI assigned
Dec 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Leola McMillan, TRICHOLOGY HAIR LOSSNPI 1649900747
Title
Practitioner
Phone
(336) 918-8521

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X
ProsthetistGroup: 193200000X MULTI-SPECIALTY GROUP 224P00000X
Clinic/Center 261Q00000X
VA Clinic/Center 261QV0200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

470 Knollwood St
Winston Salem, NC 27103-3426

Mailing address

PO Box 11762
Winston Salem, NC 27116-1762
Phone (336) 986-9063

National Provider Directory

National Provider Directory

Locations

470 Knollwood St
Winston Salem, NC 27103
Phone (336) 986-9063

Practitioners & affiliated clinicians

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": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1013629963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11762",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271161762",
            "telephone_number": "336-986-9063",
            "fax_number": "336-306-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 KNOLLWOOD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033426",
            "telephone_number": "336-986-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICHOLOGY HAIR LOSS PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "LEOLA",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "336-918-8521",
        "authorized_official_credential": "TRICHOLOGY HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.