Organization Active NPI

Serenity Hair Loss Clinic

  • Durable Medical Equipment & Medical Supplies
  • Hinesville, GA
National Provider Identifier
1558102780
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SERENITY HAIR LOSS CLINIC
Practice address
4191 W Oglethorpe Hwy
Hinesville, GA 31313-5875
Phone
(912) 320-8634
NPI assigned
Jun 3, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Shawneeke SealsNPI 1003657495
Title
Owner
Phone
(912) 320-8634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4191 W Oglethorpe Hwy
Hinesville, GA 31313-5875

Mailing address

1412 Forest Lake Dr
Hinesville, GA 31313-5351
Phone (912) 320-8634

National Provider Directory

National Provider Directory

Locations

4191 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 320-8634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1558102780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 FOREST LAKE DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313135351",
            "telephone_number": "912-320-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 W OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313135875",
            "telephone_number": "912-320-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY HAIR LOSS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "SEALS",
        "authorized_official_first_name": "SHAWNEEKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-320-8634"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.