Active NPI
Sculpt 8 Head 2 Toe
- Recovery Care Clinic/Center
- Stone Mountain, GA
National Provider Identifier
1457046476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recovery Care Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Takela L Bugg, MEDICAL ASSISTANT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Personal Care Attendant
- Stone Mountain, GA
- NPI 1831802719
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.