Individual provider Active NPI

George Dinkins Gaskin III, SLP-CCC

  • Speech-Language Pathologist
  • Gardendale, AL
National Provider Identifier
1053839555
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3747 Issued in AL
Practice address
420 Dean Dr
Gardendale, AL 35071-2763
Phone
(205) 631-8709
NPI assigned
Sep 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3747 AL Primary

Addresses

Primary practice location

420 Dean Dr
Gardendale, AL 35071-2763

Mailing address

2926 Parkridge Dr
Birmingham, AL 35209-2434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3747ALMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1053839555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 PARKRIDGE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DEAN DR",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712763",
            "telephone_number": "205-631-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKIN",
        "first_name": "GEORGE",
        "middle_name": "DINKINS",
        "name_suffix": "III",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.