29th & Glam Extensions LLC
NPI 1073275780 · Prosthetic/Orthotic Supplier · Marietta, GA
29th & Glam Extensions LLC is a Prosthetic/Orthotic Supplier organization in Marietta, GA (NPI 1073275780).
Provider details
- NPI number
- 1073275780
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Shevon Phillips, Owner(706) 668-7657
Specialties & taxonomies
Suppliers
Suppliers
- Customized Equipment (DME)332BC3200X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-11
- Last updated
- 2021-10-11
- Certified
- 2021-10-08
Frequently asked questions
- What is 29th & Glam Extensions LLC's NPI number?
- 29th & Glam Extensions LLC's National Provider Identifier (NPI) is 1073275780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 29th & Glam Extensions LLC?
- 29th & Glam Extensions LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is 29th & Glam Extensions LLC located?
- 29th & Glam Extensions LLC's practice location on file with NPPES is 1250 Powder Springs St Apt 2021, Marietta, GA 30064-5249.
- What is 29th & Glam Extensions LLC's phone number?
- The practice phone number listed in the NPPES registry for 29th & Glam Extensions LLC is (706) 668-7657.
- Who is the authorized official for 29th & Glam Extensions LLC?
- The authorized official listed on 29th & Glam Extensions LLC's NPPES record is Shevon Phillips, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 29th & Glam Extensions LLC's NPI active?
- Yes — 29th & Glam Extensions LLC's NPI (1073275780) is active in the NPPES registry as of the last update on 2021-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.