NPIMap

Organization Active NPI

Ian Bradley Hair Salon

  • Prosthetics Case Management
  • Macon, GA
National Provider Identifier
1285144733
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
IAN BRADLEY HAIR SALON
Practice address
3902 Northside Dr Ste A3
Macon, GA 31210-2459
Phone
(478) 845-1210
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Melissa McCoy, CERTIFIED HAIR LOSSNPI 1649665191
Title
Owner
Phone
(478) 714-4302

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
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

3902 Northside Dr Ste A3
Macon, GA 31210-2459

Mailing address

222 Joycliff Cir
Macon, GA 31211-7040
Phone (478) 845-1210

Other practice location 1

750 Baconsfield Dr Ste 109
Macon, GA 31211-2987
Phone (478) 330-6393

National Provider Directory

National Provider Directory
Tax ID family
Ian Bradley Hair Salon LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

750 Baconsfield Dr
Ste 109
Macon, GA 31211
Phone (478) 256-1357

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": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1285144733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JOYCLIFF CIR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312117040",
            "telephone_number": "478-845-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 NORTHSIDE DR STE A3",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102459",
            "telephone_number": "478-845-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Baconsfield Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312112987",
            "country_code": "US",
            "telephone_number": "478-330-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IAN BRADLEY HAIR SALON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-714-4302",
        "authorized_official_credential": "CERTIFIED HAIR LOSS"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.