Organization Active NPI

Albany Beauty Academy LLC

  • Prosthetics Case Management
  • Albany, GA
National Provider Identifier
1649090473
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
ALBANY BEAUTY ACADEMY LLC
Practice address
2231 Dawson Rd Ste Ij
Albany, GA 31707-3227
Phone
(229) 938-2083
NPI assigned
Oct 16, 2024
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Takenya Lacole JordanNPI 1851908016
Title
Owner
Phone
(229) 938-2083

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
Prosthetics Case Management 1744P3200X NU Primary

Addresses

Primary practice location

2231 Dawson Rd Ste Ij
Albany, GA 31707-3227

Mailing address

2231 Dawson Rd Ste Ij
Albany, GA 31707-3227
Phone (229) 938-2083

National Provider Directory

National Provider Directory

Locations

2231 Dawson Rd
Ste I
Albany, GA 31707

2231 Dawson Rd
Ste Ij
Albany, GA 31707
Phone (229) 938-2083

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": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1649090473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 DAWSON RD STE IJ",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073227",
            "telephone_number": "229-938-2083",
            "fax_number": "888-780-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 DAWSON RD STE IJ",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073227",
            "telephone_number": "229-938-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY BEAUTY ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "TAKENYA",
        "authorized_official_middle_name": "LACOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-938-2083"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.