Individual provider Active NPI

Chloe Clark McCommon, MCD

  • Speech-Language Pathologist
  • Dothan, AL
National Provider Identifier
1073960639
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET002331 Issued in GA
Practice address
218 Kirksey Dr
Dothan, AL 36305-3240
Phone
(334) 790-6837
NPI assigned
May 24, 2016
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 PCET002331 GA Primary

Addresses

Primary practice location

218 Kirksey Dr
Dothan, AL 36305-3240

Mailing address

218 Kirksey Dr
Dothan, AL 36305-3240
Phone (334) 790-6837

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PCET002331GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Circle City Speech, LLC Speech-Language Pathologist CurrentSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1073960639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 KIRKSEY DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363053240",
            "telephone_number": "334-790-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 KIRKSEY DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363053240",
            "telephone_number": "334-790-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMMON",
        "first_name": "CHLOE",
        "middle_name": "CLARK",
        "credential": "MCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET002331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.