Organization Active NPI

T. Bibbs Hair Restoration & Healthcare

  • Customized Equipment (DME)
  • Conyers, GA
National Provider Identifier
1861848137
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
T. BIBBS HAIR RESTORATION & HEALTHCARE
Practice address
1226 Royal Dr SW Ste B
Conyers, GA 30094-5926
Phone
(470) 209-4671
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Tenisha Yvonne Bibbs
Title
Trichologist/Hair Loss Practitioner
Phone
(470) 209-4671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1226 Royal Dr SW Ste B
Conyers, GA 30094-5926

Mailing address

1478 Eastmont Dr NW
Conyers, GA 30012-3553
Phone (678) 320-7474

National Provider Directory

National Provider Directory

Locations

1226 Royal Dr SW
Ste B
Conyers, GA 30094
Phone (470) 209-4671

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1861848137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 EASTMONT DR NW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123553",
            "telephone_number": "678-320-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 ROYAL DR SW STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945926",
            "telephone_number": "470-209-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. BIBBS HAIR RESTORATION & HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "BIBBS",
        "authorized_official_first_name": "TENISHA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "TRICHOLOGIST/HAIR LOSS PRACTITIONER",
        "authorized_official_telephone_number": "470-209-4671"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.