Organization Active NPI

The Hair Recovery Clinic RX LLC

  • Prosthetic/Orthotic Supplier
  • Snellville, GA
National Provider Identifier
1134004013
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE HAIR RECOVERY CLINIC RX LLC
Practice address
3293 Stone Mountain Hwy Ste G
Snellville, GA 30078-6834
Phone
(770) 771-0610
NPI assigned
Aug 8, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Kimberly Lee, CCP
Title
Ceo
Phone
(770) 560-0262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

3293 Stone Mountain Hwy Ste G
Snellville, GA 30078-6834

Mailing address

3293 Stone Mountain Hwy Ste G
Snellville, GA 30078-6834
Phone (770) 771-0610

Other names 1

  • Hair Recover Clinic Rx Other name

National Provider Directory

National Provider Directory

Locations

2272 Fountain Sq
Snellville, GA 30078

3293 Stone Mountain Hwy
Ste G
Snellville, GA 30078
Phone (770) 771-0610

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1134004013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 STONE MOUNTAIN HWY STE G",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786834",
            "telephone_number": "770-771-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3293 STONE MOUNTAIN HWY STE G",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786834",
            "telephone_number": "770-771-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAIR RECOVERY CLINIC RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-560-0262",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hair Recover Clinic Rx",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hair Recover Clinic Rx",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.