Organization Active NPI

Shannon D Bragg Ma CCC-SLP

  • Speech-Language Pathologist
  • Woodstock, GA
National Provider Identifier
1063063592
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SHANNON D BRAGG MA CCC-SLP
Practice address
1551 Pine Creek Way
Woodstock, GA 30188-4355
Phone
(770) 871-6338
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Shannon D. BraggNPI 1417349267
Title
Speech Language Pathologist
Phone
(770) 871-6338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1551 Pine Creek Way
Woodstock, GA 30188-4355

Mailing address

1003 Weatherstone Pkwy Ste 340
Woodstock, GA 30188-4496
Phone (770) 871-6338

Other practice location 1

1003 Weatherstone Pkwy Ste 340
Woodstock, GA 30188-4496
Phone (770) 871-6338

National Provider Directory

National Provider Directory

Locations

1003 Weatherstone Pkwy
Ste 340
Woodstock, GA 30188
Phone (770) 871-6338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1063063592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 WEATHERSTONE PKWY STE 340",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884496",
            "telephone_number": "770-871-6338",
            "fax_number": "470-394-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PINE CREEK WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884355",
            "telephone_number": "770-871-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Weatherstone Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301884496",
            "country_code": "US",
            "telephone_number": "770-871-6338",
            "fax_number": "470-394-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANNON D BRAGG MA CCC-SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "770-871-6338"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.