P Praxis·MD
● Active Type 2 · Organization

Custom Hair Extensions & Hair Loss Center

Specialist·Tucker, GA· NPI 1295101608 · Enumerated 2015 · 10 years on NPI
Custom Hair Extensions & Hair Loss Center is 1 of 250 specialist organizations in Georgia.
NPI age
10 years
Enumerated 2015-08-19
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jones
Certified Hair Loss Specialist
Last NPPES update
2015-09-04
Source: monthly bulk 2026-05

How this organization compares

Across 250 active specialist providers in Georgia.

NPI age
10 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-08Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
3983 Lavista Rd, Suite 164
Tucker, GA 300845153
📞 6787543196
Mailing address
1900 Glenn Club Dr, Apt 1312
Stone Mountain, GA 300873499
📞 6787543196

Authorized official

Charla Jones
Certified Hair Loss Specialist
📞 6787543196

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Specialist Primary
    A case manager who provides services for patients with prosthetics.
    taxonomy 1744P3200X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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