Salon Asya Mignon LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SALON ASYA MIGNON LLC

Practice address

4290 Memorial Dr Ste B1
Decatur, GA 30032-1225

Phone

(404) 668-8287

Fax

(470) 486-6700

NPI assigned

Jun 7, 2020

Last updated

Jun 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asya ButlerNPI 1043828767

Title

Owner

Phone

(404) 668-8287

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asya Butler

  • Prosthetics Case Management
  • Decatur, GA
  • NPI 1043828767
  NPD Authorized official

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591488000000",
    "number": "1174147938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 MEMORIAL DR STE B1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321225",
            "telephone_number": "404-668-8287",
            "fax_number": "470-486-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 MEMORIAL DR STE B1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321225",
            "telephone_number": "404-668-8287",
            "fax_number": "470-486-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALON ASYA MIGNON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ASYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-668-8287"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "4704866700",
            "affiliation": "N",
            "endpointDescription": "Fax#",
            "address_1": "4290 Memorial Dr Ste B1",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300321225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katina M Sales, SLP
• Mark Daniel Salinas
• Maija Salins, LCSW, LMT
• Barbara Sall
• Tricia Salmon Anderson, NP-C
• Salon International LLC
• Beth Salzman
• Samirrah Jewel LLC
• Amanda Sampey, MD
• Jodi Bernadette Sampson, MS, CF-SLP

• Prosthetic/Orthotic Supplier in Decatur, GA
• Providers in Decatur, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; 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.