Black Royal Beauty LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLACK ROYAL BEAUTY LLC

Practice address

11961 Veterans Memorial Hwy
Douglasville, GA 30134-4575

Phone

(404) 910-9893

NPI assigned

Oct 10, 2026

Last updated

Oct 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dienesia Paynes

Title

Owner

Phone

(404) 910-9893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1558266510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11961 VETERANS MEMORIAL HWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344575",
            "telephone_number": "404-910-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11961 VETERANS MEMORIAL HWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344575",
            "telephone_number": "404-910-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK ROYAL BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "PAYNES",
        "authorized_official_first_name": "DIENESIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-910-9893"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.