Kaitlin Brown, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5639 Issued in TN

Practice address

118 Herron Street
Fort Oglethorpe, GA 30742

Phone

(706) 861-7471

Fax

(706) 861-7472

NPI assigned

Oct 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlin Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1447499132

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1013387869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HERRON STREET",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-861-7471",
            "fax_number": "706-861-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HERRON STREET",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-861-7471",
            "fax_number": "706-861-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KAITLIN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "5639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "ALLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juan Bloodworth
• Rachel Bragg, OTD, OTR/L
• Chanity Brooke Brannon
• Danielle Brown
• Jeffrey Kiplyn Brown, PHARM D.
• Richard Brown
• Christine Broyles
• Steven G Burdette, ATC
• Erin Burns
• David Allen Burris Sr.

• Speech-Language Pathologist in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, 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 Sep 3, 2019; 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.