Organization Active NPI

Salon Elegance Hair Studio Inc

  • Durable Medical Equipment & Medical Supplies
  • Marietta, GA
National Provider Identifier
1194350397
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SALON ELEGANCE HAIR STUDIO INC
Practice address
2365 Powder Springs Rd SW
Marietta, GA 30064-4567
Phone
(770) 420-8110
NPI assigned
Mar 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Nicole FergusonNPI 1467880468
Title
Ceo
Phone
(770) 420-8110

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2365 Powder Springs Rd SW
Marietta, GA 30064-4567

Mailing address

2365 Powder Springs Rd SW
Marietta, GA 30064-4567
Phone (770) 420-8110

National Provider Directory

National Provider Directory

Locations

1651 Powder Springs Rd SW
Ste 6
Marietta, GA 30064
Phone (678) 492-8671

2365 Powder Springs Rd SW
Marietta, GA 30064
Phone (770) 420-8110

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": "1583625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1194350397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 POWDER SPRINGS RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644567",
            "telephone_number": "770-420-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 POWDER SPRINGS RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644567",
            "telephone_number": "770-420-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALON ELEGANCE HAIR STUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-08",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-420-8110"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.