Porsche' Quincola Thomas, MEDICAL WIG PROVIDER

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

3535 Peachtree Rd NE Ste 527
Atlanta, GA 30326-3287

Phone

(734) 686-7523

Fax

(404) 671-8588

NPI assigned

Jan 2, 2023

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Por'Shay Quincola Thomas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Por'Shay Hair Collection LLC

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
  • NPI 1689451932

  Durable Medical Equipment & Medical Supplies

  NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1497468714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE",
            "address_2": "P.O.BOX 527",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30326",
            "telephone_number": "734-686-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE STE 527",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263287",
            "telephone_number": "734-686-7523",
            "fax_number": "404-671-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PORSCHE'",
        "middle_name": "QUINCOLA",
        "credential": "MEDICAL WIG PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POR'SHAY",
            "last_name": "THOMAS",
            "middle_name": "QUINCOLA",
            "credential": "POR'SHAY THOMAS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nevaeh Thomas
• Nicholas Stephens Thomas
• Nithin Thomas, MD
• Omokayode Thomas, PA
• Peter C Thomas, PH.D.
• Rachel Thomas
• Rachel Thomas
• Rawdrinicka Lashae Thomas, PTA
• Renee Thomas, PA
• Robin Althea Thomas, CPNP

• Prosthetic/Orthotic Supplier in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.