Active NPI
Martha Tanesha Hines, CERTIFIED HAIR LOSS
- Prosthetics Case Management
- Marietta, GA
National Provider Identifier
1467074849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 423537
- Practice address
- 4880 Lower Roswell Rd Ste 106
Marietta, GA 30068-4300 - Phone
- (404) 988-6645
- NPI assigned
- May 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 423537 | GA | Primary |
Addresses
Primary practice location
4880 Lower Roswell Rd Ste 106
Marietta, GA 30068-4300
Mailing address
4880 Lower Roswell Rd Ste 106
Marietta, GA 30068-4300
Phone (240) 421-2872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 423537 | GA | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHD Hair Solutions LLC | Prosthetics Case Management | Current | Accepting new patients |
Locations
4880 Lower Roswell Rd
Ste 106
Marietta, GA 30068
Phone (404) 988-6645
3407 Laurel Fort Meade Rd
Maryland City, MD 20724
Phone (240) 898-6523
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Marietta, GA
- NPI 1841896842
Prosthetics Case Management
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1467074849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4880 LOWER ROSWELL RD STE 106",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684300",
"telephone_number": "240-421-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 LOWER ROSWELL RD STE 106",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684300",
"telephone_number": "404-988-6645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "MARTHA",
"middle_name": "TANESHA",
"credential": "CERTIFIED HAIR LOSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "423537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.