Organization Active NPI

QSM Enterprise Co.

Doing business as Atypical Slay Salon

  • Prosthetic/Orthotic Supplier
  • Augusta, GA
National Provider Identifier
1477431377
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
QSM ENTERPRISE CO.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.