Organization Active NPI

Sculpt 8 Head 2 Toe

  • Recovery Care Clinic/Center
  • Stone Mountain, GA
National Provider Identifier
1457046476
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
SCULPT 8 HEAD 2 TOE
Practice address
1117 Village Main St
Stone Mountain, GA 30088-4540
Phone
(706) 254-6837
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Takela L Bugg, MEDICAL ASSISTANTNPI 1831802719
Title
Owner
Phone
(706) 254-6837

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
Recovery Care Clinic/Center 261QR0800X Primary

Addresses

Primary practice location

1117 Village Main St
Stone Mountain, GA 30088-4540

Mailing address

1117 Village Main St # 1117
Stone Mountain, GA 30088-4540
Phone (706) 254-6837

Other names 1

  • Sculpt 8 Head 2 Toe Former legal business name

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.

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1457046476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 VILLAGE MAIN ST # 1117",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884540",
            "telephone_number": "706-254-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 VILLAGE MAIN ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300884540",
            "telephone_number": "706-254-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPT 8 HEAD 2 TOE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "TAKELA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-254-6837",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sculpt 8 Head 2 Toe",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.