SJ Cooper, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SJ COOPER, LLC

Doing business as

SJC Beauty

Practice address

218 W Victory Dr Ste 9
Savannah, GA 31405-1718

Phone

(912) 231-7445

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By 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

Mrs. Shauntae T Cooper, MASTER COSMETOLOGISTNPI 1609628577

Title

Specialist

Phone

(912) 233-7445

Specialties & licenses 2

Addresses

Other names 1

• SJC Beauty Doing business as

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.

• Shauntae T Cooper, MASTER COSMETOLOGIST

  • Specialist
  • Savannah, GA
  • NPI 1609628577
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1942052816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 40TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314158707",
            "telephone_number": "912-604-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W VICTORY DR STE 9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051718",
            "telephone_number": "912-231-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ COOPER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "SHAUNTAE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "912-233-7445",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTER COSMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJC Beauty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessa Marie Sinkway, DO
• Madison Sirpilla, PT, DPT
• Margaret V Sisk
• Ronald Bradley Sites, MD
• McKenzie Danee Sizemore
• SJ SC Cardiology LLC
• SJC Electrophysiology, LLC
• SJC General Surgery LLC
• SJC Home Health Services Inc
• SJC Medical Group Inc

• Specialist in Savannah, GA
• Providers in Savannah, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.