Phyllis Winfrey, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

719 Sir Charles Dr
Fairburn, GA 30213-1009

Phone

(404) 825-6575

NPI assigned

Jul 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1497232490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SIR CHARLES DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131009",
            "telephone_number": "404-825-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SIR CHARLES DR",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131009",
            "telephone_number": "404-825-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "PHYLLIS",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayo Ahisha Williams, LPN
• Thelma Williams
• Vanetta Donna Della Williams, MSW, LCSW
• Erin Victoria Wilson, PT, DPT
• Latasha Brown Wilson, COTA
• Carole Sue Wood, M.ED CCC SLP
• Wozniak Chiropractic LLC
• Ronald Stanisluas Wozniak III, DC
• Chastity Wright
• Marcus Wright

• Prosthetics Case Management in Fairburn, GA
• Providers in Fairburn, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.