Organization Active NPI

Por'Shay Hair Collection LLC

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1689451932
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
POR'SHAY HAIR COLLECTION LLC
Practice address
3535 Peachtree Rd NE Ste 527
Atlanta, GA 30326-3287
Phone
(734) 686-7523
Fax
(404) 671-8588
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Porsche' Quincola Thomas, CERTIFICATENPI 1497468714
Title
Cranial Prosthesis Specialist
Phone
(734) 686-7523

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3535 Peachtree Rd NE Ste 527
Atlanta, GA 30326-3287

Mailing address

3535 Peachtree Rd NE Ste 527
Atlanta, GA 30326-3287
Phone (734) 686-7523

Other names 1

  • N/a Former legal business name

National Provider Directory

National Provider Directory

Locations

3535 Peachtree Rd NE
Ste 527
Atlanta, GA 30326
Phone (734) 686-7523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1689451932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE STE 527",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263287",
            "telephone_number": "734-686-7523",
            "fax_number": "404-671-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PEACHTREE RD NE STE 527",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263287",
            "telephone_number": "734-686-7523",
            "fax_number": "404-671-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POR'SHAY HAIR COLLECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PORSCHE'",
        "authorized_official_middle_name": "QUINCOLA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "734-686-7523",
        "authorized_official_credential": "CERTIFICATE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.