Johnna Chatham Modlin, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6578 Issued in NC

Practice address

115-B Regency Blvd
Greenville, NC 27834-4645

Phone

(252) 756-3099

Fax

(252) 756-0667

NPI assigned

Aug 19, 2008

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

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.

• Tri Therapy East Inc

  • Speech-Language Pathologist
  • Greenville, NC
  • NPI 1154639474
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1033366307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115-B REGENCY BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344645",
            "telephone_number": "252-756-3099",
            "fax_number": "252-756-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115-B REGENCY BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344645",
            "telephone_number": "252-756-3099",
            "fax_number": "252-756-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODLIN",
        "first_name": "JOHNNA",
        "middle_name": "CHATHAM",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7413022",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mobile Transportation Services, LLC
• Katherine Mobley
• Aakash Modi, M.D.
• Ritu Modi, M.D
• Suresh Paul Modi, MD
• Melissa Yen Yen Moey, M.D.
• Mohamed & Associates DDS PA I
• Mohamed and Foulkes DDS PA IV
• Gabriella Mohamed-Fernandez
• Abdinasir A Mohamed, DDS

• Speech-Language Pathologist in Greenville, NC
• Providers in Greenville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.