Organization Active NPI

Procom Speech-Language Services

  • Speech-Language Pathologist
  • Columbus, GA
National Provider Identifier
1003324609
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006148 Issued in GA
Legal business name
PROCOM SPEECH-LANGUAGE SERVICES
Practice address
3645 Gentian Blvd Ste 3B
Columbus, GA 31907-5688
Phone
(706) 457-3883
Fax
(706) 243-4985
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amanda Kahmann, M.S., CCC-SLPNPI 1205280336
Title
Owner/SLP
Phone
(913) 702-4575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP006148 GA Primary

Addresses

Primary practice location

3645 Gentian Blvd Ste 3B
Columbus, GA 31907-5688

Mailing address

3503 Piedmont Lake Rd
Pine Mountain, GA 31822-3566
Phone (913) 702-4575

National Provider Directory

National Provider Directory

Locations

4350 Warm Springs Rd
Ste 500
Columbus, GA 31909
Phone (706) 575-0526

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1003324609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 PIEDMONT LAKE RD",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318223566",
            "telephone_number": "913-702-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 GENTIAN BLVD STE 3B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075688",
            "telephone_number": "706-457-3883",
            "fax_number": "706-243-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCOM SPEECH-LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "KAHMANN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "913-702-4575",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.