Active NPI
QSM Enterprise Co.
Doing business as Atypical Slay Salon
- Prosthetic/Orthotic Supplier
- Augusta, GA
National Provider Identifier
1477431377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- QSM ENTERPRISE CO.
- Doing business as
- Atypical Slay Salon
- Practice address
- 4046 Jimmie Dyess Pkwy
Augusta, GA 30909-9468 - Phone
- (706) 840-0634
- NPI assigned
- Aug 26, 2025
- Last updated
- Sep 1, 2025
- Organization subpart
- Yes
- Parent organization
- QSM ENTERPRISE CO.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Quenya McMillan
- Title
- Masters Cosmetologist
- Phone
- (910) 229-6770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
4046 Jimmie Dyess Pkwy
Augusta, GA 30909-9468
Mailing address
4323 Memory LN
Conyers, GA 30013-1115
Phone (910) 229-6770
Other names 1
- Atypical Slay Salon
National Provider Directory
National Provider Directory- Part of
- QSM Enterprise Co
Locations
4046 Jimmie Dyess Pkwy
Augusta, GA 30909
Phone (706) 840-0634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756684800000",
"number": "1477431377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4323 MEMORY LN",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131115",
"telephone_number": "910-229-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4046 JIMMIE DYESS PKWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309099468",
"telephone_number": "706-840-0634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QSM ENTERPRISE CO.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QSM ENTERPRISE CO.",
"enumeration_date": "2025-08-26",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A",
"authorized_official_last_name": "MCMILLAN",
"authorized_official_first_name": "QUENYA",
"authorized_official_title_or_position": "MASTERS COSMETOLOGIST",
"authorized_official_telephone_number": "910-229-6770"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atypical Slay Salon",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atypical Slay Salon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.