Individual provider Active NPI

Amanda Zito Griffin, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1013080514
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005916 Issued in GA
Practice address
5825 Glenridge Dr NE
BLDG 1, Suite 133
Atlanta, GA 30328-5387
Phone
(404) 513-3810
Fax
(404) 902-5440
NPI assigned
Nov 15, 2006
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 117884 TX
Speech-Language Pathologist 235Z00000X SLP005916 GA Primary

Addresses

Primary practice location

5825 Glenridge Dr NE
BLDG 1, Suite 133
Atlanta, GA 30328-5387

Mailing address

5825 Glenridge Dr NE
BLDG 1, Suite 133
Atlanta, GA 30328-5387
Phone (404) 513-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP005916GAMDSpeech-Language Pathologist
117884TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
ABA to Z LLC Current Accepting new patients
A to Z Pediatric Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1013080514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE",
            "address_2": "BLDG 1, SUITE 133",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-513-3810",
            "fax_number": "404-902-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE",
            "address_2": "BLDG 1, SUITE 133",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-513-3810",
            "fax_number": "404-902-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITO GRIFFIN",
        "first_name": "AMANDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117884",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.