Xclusively Branded Dba Fedora's Luxe Medical Wigs

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

XCLUSIVELY BRANDED DBA FEDORA'S LUXE MEDICAL WIGS

Practice address

117 N McAllister St
Lake City, SC 29560-2421

Phone

(843) 956-7131

NPI assigned

Sep 2, 2025

Last updated

Oct 3, 2025By 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

Fedora McGillNPI 1679445209

Title

Manager

Phone

(843) 956-7131

Specialties & licenses 1

Addresses

Locations

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.

• Fedora McGill

  • Customized Equipment (DME)
  • Lake City, SC
  • NPI 1679445209
  NPD Authorized official

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1609755719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N MCALLISTER ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602421",
            "telephone_number": "843-956-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N MCALLISTER ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602421",
            "telephone_number": "843-956-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XCLUSIVELY BRANDED DBA FEDORA'S LUXE MEDICAL WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "FEDORA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-956-7131"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Webster, RN
• Michael P Weisgerber, O.D.
• Vonny Whittington
• Wilson Transport Service LLC
• Lisa M Wright, M.D.
• Zander's Transport Services
• Randy Leon Zanders Jr.

• Prosthetic/Orthotic Supplier in Lake City, SC
• Providers in Lake City, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.