STANDING OVATION SERVICE & SUPPLY LLC (NPI# 1710430905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710430905 |
| Entity Type | Organization |
| Organization Name | STANDING OVATION SERVICE & SUPPLY LLC |
| Other Organization Name | OWENS HAIR & SCALP RESTORATION |
| Practice Address |
288 N Lanier St Lyons GA 30436-1351 |
| Practice Telephone | 9126587019 |
| Mailing Telephone | 9126587019 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | MR. TERRAN OWENS SR. (CERTIFIED HAIR LOSS SPECIALIST) |
| Authorized Official Telephone | 9123888030 |
| Authorized Official Credential | HLPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Other Name | Type Code |
|---|---|
| Owens Hair & Scalp Restoration | Doing Business As Name - Organization |
| Street Address |
288 N LANIER ST |
| City | LYONS |
| State | GA |
| Zip Code | 30436-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172388 | Nurses Plus, Inc | Clinic/Center | 262 Johnson Corner Rd, Lyons, GA 30436 | 2012-04-11 |
| 1073818969 | Accuquest Hearing Center | Hearing Aid Equipment | 115 Oxley Drive, Lyons, GA 30436 | 2011-01-24 |
| 1750374336 | Catherine W Reavis | Nurse Practitioner | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-29 |
| 1033262829 | Kathleen R Dunham-bridges | Nurse Practitioner | 110 R T Stanley Sr Place, Lyons, GA 30436 | 2007-01-18 |
| 1629009501 | Susan F Mclendon | Registered Nurse | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2006-07-06 |
| 1457344046 | Brandy W Sikes | Physician Assistant | 110 R T Stanley Sr Pl, Lyons, GA 30436 | 2005-08-30 |
| 1881625457 | Hazel E Mead | Registered Nurse | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-05 |
| 1649202607 | Toombs County Board of Health | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0008 | 2006-07-07 |
| 1831112879 | Toombs County Wellness Center | Public Health or Welfare | 714 Nw Broad Street, Lyons, GA 30436-0308 | 2006-07-25 |
| 1548345036 | Donald J Payne Dmd PC | Dentist | 668 Nw Broad St, Lyons, GA 30436-0899 | 2006-10-25 |
| Find all providers in zip 30436 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638448 | Shariyfa Ferron | Specialist | 1864 Scenic Hwy N Ste 112, Snellville, GA 30078-2549 | 2020-10-27 |
| 1851908016 | Takenya Lacole Jordan | Specialist | 2231 Dawson Rd Ste Ij, Albany, GA 31707-3227 | 2020-09-30 |
| 1437765724 | Shanea Buie | Specialist | 5977 Whitesville Rd Ste 20, Columbus, GA 31904-3618 | 2020-09-22 |
| 1114537313 | Kimberly Melissa Sampson | Specialist | 2386 Clower St Ste 102, Snellville, GA 30078-6134 | 2020-08-04 |
| 1295351302 | Marquisha General | Specialist | 1639 Lower Roswell Rd, Marietta, GA 30068-3343 | 2020-06-24 |
| 1053937805 | Angela D Zanders | Specialist | 1600 E Forsyth St, Americus, GA 31709-3856 | 2020-06-17 |
| 1770107526 | Natasha Monic Douglas | Specialist | 1630 Scenic Hwy N, Snellville, GA 30078-5647 | 2020-06-07 |
| 1518595479 | Jacque Monae LLC | Specialist | 4955 Sugarloaf Pkwy Ste 104, Lawrenceville, GA 30044-8838 | 2020-03-27 |
| 1518592716 | Naquiesha Peterson | Specialist | 3510 Ponderosa Ln, Powder Springs, GA 30127-2074 | 2020-03-08 |
| 1295368900 | Doris Huff Hardeman | Specialist | 75 Rolling Ridge Dr, Covington, GA 30016-1823 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.