Elite Glam Society

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE GLAM SOCIETY

Practice address

4621 Stewart Reilly Dr
Acworth, GA 30101-2695

Phone

(678) 709-3505

NPI assigned

Dec 6, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Ashley Taylor

Title

Ceo

Phone

(678) 709-3505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1902673205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORTHSIDE DR NW STE A7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182695",
            "telephone_number": "678-709-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 STEWART REILLY DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012695",
            "telephone_number": "678-709-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE GLAM SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-709-3505"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Dyer
• Fady G Ebid, DMD
• Darra M Edwards, MA, PHARMD, BCPS
• Nicole J Edwards, D.C.
• Tiffany Cecile Edwards
• Elite Total Wellness, LLC
• Linda Mullin Elkins, D.C.
• Deloris R. Elliott, LISW
• Shelley Jo Elliott, LCSW
• Eloquent Health LLC

• Durable Medical Equipment & Medical Supplies in Acworth, GA
• Providers in Acworth, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.