Organization Active NPI

Bella Monique LLC

Doing business as Elite Medical Wigs LLC

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1285393439
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BELLA MONIQUE LLC
Doing business as
Elite Medical Wigs LLC
Practice address
1445 Woodmont LN NW # 1205
Atlanta, GA 30318-2866
Phone
(912) 288-5907
Fax
(912) 452-1130
NPI assigned
Dec 15, 2021
Last updated
Feb 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Shavonne Bellamy
Title
Ceo
Phone
(912) 722-3281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1445 Woodmont LN NW # 1205
Atlanta, GA 30318-2866

Mailing address

PO Box 1174
Blackshear, GA 31516-3674
Phone (912) 288-5907

Other names 1

  • Elite Medical Wigs LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 912-452-1130

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1285393439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1174",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315163674",
            "telephone_number": "912-288-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW # 1205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "912-288-5907",
            "fax_number": "912-452-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA MONIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "BELLAMY",
        "authorized_official_first_name": "SHAVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-722-3281"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "912-452-1130",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "1445 Woodmont Ln NW # 1205",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303182866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elite Medical Wigs LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Medical Wigs LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.