Kellie Michelle Vernor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012014 Issued in GA

Practice address

6002 Highway 53 E Ste 110
Dawsonville, GA 30534-6227

Phone

(770) 767-1971

NPI assigned

Jun 24, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Building Bridges Therapy Inc

  • Speech-Language Pathologist
  • Cumming, GA
  • NPI 1326200452
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1063256022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 WEBER INDUSTRIAL DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416468",
            "telephone_number": "770-886-6204",
            "fax_number": "678-261-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 HIGHWAY 53 E STE 110",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346227",
            "telephone_number": "770-767-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNOR",
        "first_name": "KELLIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Solution Chiropractic Inc.
• Paul Edward Turner, PT, DPT
• Kent Ulrich
• Vance T. Wood, PSYD, PC
• Sunayana Venugopal, FNP
• Johnny Vite
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Duane Isabel Wallace, LPC

• Speech-Language Pathologist in Dawsonville, GA
• Providers in Dawsonville, 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 Jun 24, 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.