Organization Active NPI

Jacque Monae LLC

Doing business as J.Monae Wigs & Hair Loss Center

  • Prosthetics Case Management
  • Lawrenceville, GA
National Provider Identifier
1518595479
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
JACQUE MONAE LLC
Doing business as
J.Monae Wigs & Hair Loss Center
Practice address
4955 Sugarloaf Pkwy Ste 104
Lawrenceville, GA 30044-8838
Phone
(470) 599-3145
NPI assigned
Mar 27, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Jacque McKenzie
Title
Owner
Phone
(470) 599-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

4955 Sugarloaf Pkwy Ste 104
Lawrenceville, GA 30044-8838

Mailing address

3984 Church View LN
Suwanee, GA 30024-8430
Phone (470) 599-3145

Other names 1

  • J.Monae Wigs & Hair Loss Center Doing business as

National Provider Directory

National Provider Directory

Locations

4955 Sugarloaf Pkwy
Ste 104
Lawrenceville, GA 30044
Phone (470) 599-3145

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1518595479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3984 CHURCH VIEW LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248430",
            "telephone_number": "470-599-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 SUGARLOAF PKWY STE 104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448838",
            "telephone_number": "470-599-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUE MONAE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-599-3145"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.Monae Wigs & Hair Loss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.