1. Home
  2. Directory
  3. Georgia
  4. Roswell
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

SHADAE RENEE MEDICAL WIGS
NPI 1447860150
Prosthetic/Orthotic Supplier in Roswell, GA

Active since August 06, 2020
10719 ALPHARETTA HWY # 1792, ROSWELL, GA 30076(678) 362-6469(678) 325-2731 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Shadae Renee Medical Wigs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADAE RENEE MEDICAL WIGS (NPI 1447860150) is a healthcare organization registered as a prosthetic/orthotic supplier in Roswell, Georgia and active in the NPI registry since August 2020. The organization lists Shadae Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1447860150
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSHADAE RENEE MEDICAL WIGS
Location Address10719 ALPHARETTA HWY # 1792Roswell, GA 30076-2432
Mailing Address10719 Alpharetta Hwy # 1792Roswell, GA 30076-2432 · (678) 362-6469 · Fax (678) 325-2731
Phone(678) 362-6469
Fax(678) 325-2731
Organization SubpartNo
Authorized OfficialShadae GreenOwner · (678) 362-6469
Enumeration DateAugust 6, 2020
NPPES CertifiedAugust 6, 2020
✔ NPI 1447860150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
10719 ALPHARETTA HWY # 1792, Roswell, GA 30076
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadae Renee Medical Wigs's NPI number?

The NPI number for Shadae Renee Medical Wigs is 1447860150. It was assigned to this organization in the NPPES registry on August 6, 2020.

Where is Shadae Renee Medical Wigs located?

Shadae Renee Medical Wigs is located at 10719 Alpharetta Hwy # 1792, Roswell, GA 30076. The listed phone number is (678) 362-6469.

What is Shadae Renee Medical Wigs's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Shadae Renee Medical Wigs was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.