Active NPI
Por'Shay Hair Collection LLC
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1689451932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Porsche' Quincola Thomas, CERTIFICATE
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Prosthetic/Orthotic Supplier
- Atlanta, GA
- NPI 1497468714
Durable Medical Equipment & Medical Supplies
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.