Ace Hair Rejuvenation and Wellness Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ACE HAIR REJUVENATION AND WELLNESS CLINIC

Practice address

214 W Main St Ste 214a
Swainsboro, GA 30401-3150

Phone

(912) 245-9332

NPI assigned

Oct 22, 2021

Last updated

Oct 26, 2021By 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

Jasmine Bynes, MA1,PH1,NTINPI 1790449031

Title

Trichologist

Phone

(912) 245-9332

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Jasmine Bynes, MA1,PH1, NTI

  • Specialist
  • Swainsboro, GA
  • NPI 1790449031
  NPD Authorized official

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1699439935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 NORTH ST E",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748721",
            "telephone_number": "912-380-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST STE 214A",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013150",
            "telephone_number": "912-245-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE HAIR REJUVENATION AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "BYNES",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "TRICHOLOGIST",
        "authorized_official_telephone_number": "912-245-9332",
        "authorized_official_credential": "MA1,PH1,NTI"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Website",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 W Main St Ste 214A",
            "city": "Swainsboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304013150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cherry Allen
• Amedisys Georgia LLC (Amedisys Home Health)
• Ashley Drug Company, Inc. (Shop Rite Pharmacy LTC)
• Ashley Drug Company, Inc. (Shop Rite Pharmacy)
• Joseph Dan Barnard, LPC

• Multi-Specialty Clinic/Center in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.