Tameka Blanette Bacon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7327 Vigo Dr
Lithonia, GA 30058-5966

Phone

(404) 808-2323

NPI assigned

May 21, 2007

Last updated

Mar 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Simply Stated SLP Services, LLC

  • Hearing and Speech Clinic/Center
  • Lithonia, GA
  • NPI 1184370041
  NPD Authorized official
• Rightstart Therapy Service, Inc.

  • Speech-Language Pathologist
  • Snellville, GA
  • NPI 1053542092
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1013126770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7327 VIGO DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585966",
            "telephone_number": "404-808-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7327 VIGO DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585966",
            "telephone_number": "404-808-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "TAMEKA",
        "middle_name": "BLANETTE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140688B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tashonna Ayers
• Soma Hussein Aziz, PHARMD
• B&J Transit
• Aissatou Ba
• Donell Dwyane Babino Jr., DPT, PT
• Baker and Associates Dental Group
• Shemekia Baker
• Tiffany M. Baker, D.D.S.
• Zakeyeria Baker
• Fiona Carolyn Baldwin, M.D

• Speech-Language Pathologist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.