Organization Active NPI

Secret Tresses Wigs

  • Durable Medical Equipment & Medical Supplies
  • Pooler, GA
National Provider Identifier
1104692680
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SECRET TRESSES WIGS
Practice address
128 Aquinnah Dr
Pooler, GA 31322-8276
Phone
(912) 484-0283
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Stefini JonesNPI 1891574398
Title
Owner
Phone
(912) 484-0283

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

128 Aquinnah Dr
Pooler, GA 31322-8276

Mailing address

128 Aquinnah Dr
Pooler, GA 31322-8276

National Provider Directory

National Provider Directory

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": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1104692680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 AQUINNAH DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 AQUINNAH DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228276",
            "telephone_number": "912-484-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECRET TRESSES WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "STEFINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-484-0283"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.