Graceful Handz Salon LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GRACEFUL HANDZ SALON LLC

Practice address

115 Promenade Pkwy Ste a
Fayetteville, GA 30214-7713

Phone

(504) 914-1416

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Yolanda PolkNPI 1255018016

Title

Manager

Phone

(504) 914-1416

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yolanda Polk

  • Prosthetic/Orthotic Supplier
  • Fayetteville, GA
  • NPI 1255018016
  NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1386485647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 BLUESTONE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303319498",
            "telephone_number": "504-914-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PROMENADE PKWY STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147713",
            "telephone_number": "504-914-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HANDZ SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-914-1416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priyanka Gorukanti
• David Phillip Gowdy, M.D.
• Marysue C Goza, M.D.
• Sara H. Goza, M.D.
• Wendy Smith Goza, M.D.
• Kristen Dawn Graddy, OTR/L
• Grady Health System
• Lisa Graefinger, PHARM D
• Nancy Welch Graf, PA-C
• Graham Family Adult Daycare Inc.

• Prosthetic/Orthotic Supplier in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.