Organization Active NPI

Tai Davis Medical Wigs

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1043975188
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TAI DAVIS MEDICAL WIGS
Practice address
2451 Cumberland Pkwy SE Ste 447
Atlanta, GA 30339-6136
Phone
(404) 482-5503
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Tnesheia Davis
Title
Owner
Phone
(404) 482-5503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2451 Cumberland Pkwy SE Ste 447
Atlanta, GA 30339-6136

Mailing address

2451 Cumberland Pkwy SE Ste 447
Atlanta, GA 30339-6136
Phone (404) 482-5503

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 6788831203

National Provider Directory

National Provider Directory

Locations

2451 Cumberland Pkwy SE
Ste 447
Atlanta, GA 30339
Phone (404) 482-5503

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1043975188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE STE 447",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "404-482-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE STE 447",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "404-482-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAI DAVIS MEDICAL WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TNESHEIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-482-5503"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6788831203",
            "affiliation": "N",
            "endpointDescription": "Fax machine",
            "address_1": "2451 Cumberland Pkwy SE Ste 447",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303396136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Nov 3, 2021; 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.