Teresa Lynn McElroy, M ED CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

004462 Issued in GA

Practice address

618 Bowens Mill Rd SW
Douglas, GA 31533-3926

Phone

(912) 331-0846

Fax

(912) 331-0847

NPI assigned

Sep 15, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Therapy Tree of Georgia LLC

  • Speech-Language Pathologist
  • Douglas, GA
  • NPI 1609767714

  GA, Speech-Language Pathologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1043469059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BOWENS MILL RD SW",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333926",
            "telephone_number": "912-331-0846",
            "fax_number": "678-792-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BOWENS MILL RD SW",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333926",
            "telephone_number": "912-331-0846",
            "fax_number": "912-331-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "credential": "M ED CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "004462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000813106C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfred Walter Mazur, M.D.
• Mary Kate McBee, APRN
• Leigh Anna McBride, NP-C
• Taylor McCarty, MT013456
• Ashley Simmons McCrary, PHARMD
• McGovern Dental, LLC
• Justin McGovern, D.M.D.
• Daren McKean, DC
• Brandy S McKeown, OTR/L, CLT-LANA
• Melissa Miller McKinney, PSY.D., LPC

• All providers in Douglas, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.