Merlande Leonna Petithomme, CERTIFIED HAIR LOSS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

5975 Roswell Rd
C-343, Flat-8
Sandy Springs, GA 30328

Phone

(770) 771-1981

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Merlande Leonna Petithomme Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Platinum Hair by Merlande, LLC

  • Prosthetics Case Management
  • Sandy Springs, GA
  • NPI 1457011744
  NPD Authorized official

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1922768381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 ROSWELL RD",
            "address_2": "C-343, FLAT-8",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-771-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 ROSWELL RD",
            "address_2": "C-343, FLAT-8",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-771-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITHOMME",
        "first_name": "MERLANDE",
        "middle_name": "LEONNA",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED HAIR LOSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INSURANCE",
            "identifier": "CO129741",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.merlande.com/customwigs",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5975 Roswell Rd",
            "address_2": "C-343, Flat-8",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MERLANDE",
            "last_name": "PETITHOMME",
            "middle_name": "LEONNA",
            "prefix": "MS.",
            "credential": "CRANIAL PROTHESIS SP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Traci M Perry-Scranton, MSN, APRN, CPNP
• Khaleah Perry
• Amelia Persaud, OTR/L, IBCLC
• Mark Persaud, DDS
• Personalized Healthcare, LLC
• Bethany Rose Ann Petronella, LPC
• Rick Petronella
• Hongduyen Pham, RBT
• David Alexander Phaup
• Janise Phillips

• Prosthetics Case Management in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.