Glazed Skin Studio LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GLAZED SKIN STUDIO LLC

Practice address

2215 Smyrna Rd SW
Conyers, GA 30094-6170

Phone

(678) 524-5147

NPI assigned

Aug 7, 2025

Organization subpart

No

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

Authorized official

Name

Shauna Jeffcoat, LE, CPTNPI 1669357778

Title

Managing Aesthetician

Phone

(678) 524-5147

Specialties & licenses 1

Addresses

Other names 1

• Mint Skin Therapy Other name

Practitioners 1

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

• Shauna S. Jeffcoat, LE, CPT

  • Phlebotomy Technician
  • Conyers, GA
  • NPI 1669357778
  NPD Authorized official

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1699650705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SMYRNA RD SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946170",
            "telephone_number": "678-524-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SMYRNA RD SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946170",
            "telephone_number": "678-524-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAZED SKIN STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "JEFFCOAT",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "MANAGING AESTHETICIAN",
        "authorized_official_telephone_number": "678-524-5147",
        "authorized_official_credential": "LE, CPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Skin Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Manon M Girard, SLP
• Chandra Girdhari, CRNA
• Rodney L Givens, DDS
• Rena M Glass-Dixon, PHD, LCSW
• Glaze and Allen Van Lift Inc
• Magdalene Tiah Glekiah, NP
• Glo Connect LLC
• Global Diagnostic Services, Inc.
• Gisele Natacha Gobre, NP-C
• Rhys C. Godwin Sr.

• Clinic/Center in Conyers, GA
• Providers in Conyers, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.