Active NPI
Maya Simmons
- Speech-Language Pathologist
- Norcross, GA
National Provider Identifier
1083022883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008508
- Practice address
- 3985 Steve Reynolds Blvd
Building G
Norcross, GA 30093-3035 - Phone
- (770) 622-2532
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008508 | GA | Primary |
Addresses
Primary practice location
3985 Steve Reynolds Blvd
Building G
Norcross, GA 30093-3035
Mailing address
3985 Steve Reynolds Blvd
Building G
Norcross, GA 30093-3035
Phone (770) 622-2532
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008508 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta International PT, Inc | Past | 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 and National Provider Directory roles.
-
- Physical Therapist
- Norcross, GA
- NPI 1720100126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1083022883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3985 STEVE REYNOLDS BLVD",
"address_2": "BUILDING G",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933035",
"telephone_number": "770-622-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3985 STEVE REYNOLDS BLVD",
"address_2": "BUILDING G",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300933035",
"telephone_number": "770-622-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "MAYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.