Organization Active NPI

Celebrity Fashion Hair Inc

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1376180257
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CELEBRITY FASHION HAIR INC
Practice address
3350 Riverwood Pkwy SE Ste 1951
Atlanta, GA 30339-6401
Phone
(770) 309-2929
NPI assigned
Dec 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Latryce Golliday
Title
Cfo
Phone
(770) 309-2929

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3350 Riverwood Pkwy SE Ste 1951
Atlanta, GA 30339-6401

Mailing address

1511 S Cobb Dr SE
Marietta, GA 30060-7414
Phone (770) 309-2929

National Provider Directory

National Provider Directory

Locations

3350 Riverwood Pkwy SE
Ste 1951
Atlanta, GA 30339
Phone (770) 309-2929

1511 S Cobb Dr SE
Marietta, GA 30060

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1376180257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 S COBB DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607414",
            "telephone_number": "770-309-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 RIVERWOOD PKWY SE STE 1951",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396401",
            "telephone_number": "770-309-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY FASHION HAIR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "GOLLIDAY",
        "authorized_official_first_name": "LATRYCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-309-2929"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 10, 2019; 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.