Organization Active NPI

Radiant Beauty Luxury Experience Salon LLC

  • Durable Medical Equipment & Medical Supplies
  • Savannah, GA
National Provider Identifier
1285589622
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RADIANT BEAUTY LUXURY EXPERIENCE SALON LLC
Practice address
218 W Victory Dr Ste 8
Savannah, GA 31405-1718
Phone
(470) 727-1176
NPI assigned
Mar 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Ms. Denise RandallNPI 1396133245
Title
Cranial Prosthesis Specialist
Phone
(470) 727-1176

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

218 W Victory Dr Ste 8
Savannah, GA 31405-1718

Mailing address

12503 Cranwood LN
Savannah, GA 31419-2656
Phone (470) 727-1176

National Provider Directory

National Provider Directory

Locations

218 W Victory Dr
Ste 8
Savannah, GA 31405
Phone (470) 727-1176

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": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1285589622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 CRANWOOD LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314192656",
            "telephone_number": "470-727-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W VICTORY DR STE 8",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051718",
            "telephone_number": "470-727-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT BEAUTY LUXURY EXPERIENCE SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "470-727-1176",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.