Individual provider Active NPI

Nicole Ferguson

  • Prosthetics Case Management
  • Marietta, GA
National Provider Identifier
1467880468
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
2365 Powder Springs Rd SW Ste 1219
Marietta, GA 30064-4568
Phone
(770) 420-8110
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

2365 Powder Springs Rd SW Ste 1219
Marietta, GA 30064-4568

Mailing address

2365 Powder Springs Rd SW Ste 1219
Marietta, GA 30064-4568
Phone (770) 420-8110

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Salonelegancehair.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salon Elegance Hair Studio Inc Prosthetics Case Management CurrentSince Mar 1, 2020 Accepting new patients

Locations

2365 Powder Springs Rd SW
Ste 1219
Marietta, GA 30064
Phone (513) 882-2607

1651 Powder Springs Rd SW
Ste 6
Marietta, GA 30064
Phone (678) 492-8671

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.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1467880468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 POWDER SPRINGS RD SW STE 1219",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644568",
            "telephone_number": "770-420-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 POWDER SPRINGS RD SW STE 1219",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644568",
            "telephone_number": "770-420-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Salonelegancehair.com",
            "affiliation": "N",
            "address_1": "1651 Powder Springs Rd SW Ste 6",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300644847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 5, 2021; 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.