NPIMap

Organization Active NPI

Sisu of Georgia, Inc

  • Speech-Language Pathologist
  • Gainesville, GA
National Provider Identifier
1043385057
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006444 Issued in GA
Legal business name
SISU OF GEORGIA, INC
Practice address
2360 Murphy Blvd
Gainesville, GA 30504-6002
Phone
(770) 535-8372
Fax
(770) 535-0252
NPI assigned
Nov 22, 2006
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Ashley Morgan Carter
Title
Ceo
Phone
(770) 535-8372

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007578 GA
Physical Therapist 225100000X PT006768 GA
Physical Therapist 225100000X PT003657 GA
Occupational Therapist 225X00000X OT004268 GA
Occupational Therapist 225X00000X OT003781 GA
Occupational Therapist 225X00000X OT003986 GA
Occupational Therapist 225X00000X OT000068 GA
Speech-Language Pathologist 235Z00000X SLP003545 GA
Speech-Language Pathologist 235Z00000X SLP005527 GA
Speech-Language Pathologist 235Z00000X SLP006444 GA Primary
Speech-Language Pathologist 235Z00000X SLP003665 GA

Addresses

Primary practice location

2360 Murphy Blvd
Gainesville, GA 30504-6002

Mailing address

2360 Murphy Blvd
Gainesville, GA 30504
Phone (770) 535-8372

National Provider Directory

National Provider Directory

Locations

2360 Murphy Blvd
Gainesville, GA 30504
Phone (770) 535-8372

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1043385057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MURPHY BLVD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30504",
            "telephone_number": "770-535-8372",
            "fax_number": "770-535-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MURPHY BLVD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305046002",
            "telephone_number": "770-535-8372",
            "fax_number": "770-535-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-02-14",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-535-8372"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007578",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006768",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003657",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004268",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003781",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003986",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT000068",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003545",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005527",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006444",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.