Hair & Beauty Treatment Center

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

HAIR & BEAUTY TREATMENT CENTER

Doing business as

Southern Comfort Medical Supply

Practice address

524 Shartom Dr
Augusta, GA 30907-4751

Phone

(706) 373-9184

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Donecia Perrin-Sullivan, SPECIALIST

Title

Owner

Phone

(706) 373-9184

Specialties & licenses 1

Addresses

Other names 1

• Southern Comfort Medical Supply Doing business as

Electronic endpoints 1

Tax ID family

Hair Beauty Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hair & Beauty Treatment Center LLC

  • Prosthetic/Orthotic Supplier
  • Augusta, GA
  • NPI 1285341636
  NPD tax ID

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1578271896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SHARTOM DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074751",
            "telephone_number": "706-373-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SHARTOM DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074751",
            "telephone_number": "706-373-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR & BEAUTY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "PERRIN-SULLIVAN",
        "authorized_official_first_name": "DONECIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-373-9184",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "524 Shartom Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309074751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Southern Comfort Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Christian Hagopian, DO
• Hagues Inpatient Services LLC
• Jessica Haibach
• Jeanne Ann Haid, NP-C
• Hair & Beauty Treatment Center
• Hair & Beauty Treatment Center LLC
• Edna Raycine Haislip, OTR/L
• Randalynn Elmore Hajek, RD
• Halbert C Capuy MD PC
• Cynthia Tanner Hale, OTR/L

• Prosthetics Case Management in Augusta, GA
• Providers in Augusta, 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 Nov 7, 2022; 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.