Hair & Beauty Treatment Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HAIR & BEAUTY TREATMENT CENTER

Doing business as

Southern Comfort Medical Supply

Practice address

524 Shartom Dr
Augusta, GA 30907-4751

Phone

(706) 373-9184

Fax

(762) 333-8798

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Donecia Perrin-Sullivan

Title

Owner

Phone

(706) 373-9184

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Southern Comfort Medical Supply Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1104211879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PACIFICA DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309071757",
            "telephone_number": "706-373-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SHARTOM DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074751",
            "telephone_number": "706-373-9184",
            "fax_number": "762-333-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR & BEAUTY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-30",
        "status": "A",
        "authorized_official_last_name": "PERRIN-SULLIVAN",
        "authorized_official_first_name": "DONECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-373-9184"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548654411",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "524 Shartom Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309074751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southern Comfort Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• La-Sho'Ndra Hagin
• Brandon Christian Hagopian, DO
• Hagues Inpatient Services LLC
• Jessica Haibach
• Jeanne Ann Haid, NP-C
• Hair & Beauty Treatment Center
• Hair & Beauty Treatment Center LLC
• Edna Raycine Haislip, OTR/L
• Randalynn Elmore Hajek, RD
• Halbert C Capuy MD PC

• Durable Medical Equipment & Medical Supplies in Augusta, GA
• Providers in Augusta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.