Lawrence Dwayne Cumbus, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP 005149 Issued in GA

Practice address

1175 Oglethorpe Ave
Ste B
Athens, GA 30606-2129

Phone

(706) 353-3575

Fax

(706) 353-1606

NPI assigned

Oct 1, 2009

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1033443569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 OGLETHORPE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062129",
            "telephone_number": "706-202-1141",
            "fax_number": "706-661-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 OGLETHORPE AVE",
            "address_2": "STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062129",
            "telephone_number": "706-353-3575",
            "fax_number": "706-353-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMBUS",
        "first_name": "LAWRENCE",
        "middle_name": "DWAYNE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP 005149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711246114A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "344294",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01036248",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Lindsay Cryder, FNP-C
• Brent Michael Crymes, MD
• John V Cuff, MD
• Alex M Culberson, DMD, MS
• Amy Culbertson
• Leigh A Cummings-Crenshaw, DMD
• Christopher M Cuneo
• Dollette Cunneen
• Amanda Cunningham, MSN, FNP-BC
• Benna Ellis Cunningham, APRN,BC

• Speech-Language Pathologist in Athens, GA
• Providers in Athens, 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 Nov 22, 2017; 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.