Active NPI
Janice Lea Semonsky, CCC-SLP
- Speech-Language Pathologist
- Braselton, GA
National Provider Identifier
1083219422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008860
- Practice address
- 7033 Grand Hickory Dr
Braselton, GA 30517-6253 - Phone
- (706) 540-4759
- Fax
- (678) 853-7167
- NPI assigned
- Dec 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 | SLP008860 | GA | Primary |
Addresses
Primary practice location
7033 Grand Hickory Dr
Braselton, GA 30517-6253
Mailing address
7033 Grand Hickory Dr
Braselton, GA 30517-6253
Phone (706) 540-4759
Other practice location 1
3615 Braselton Hwy Ste 103
Dacula, GA 30019-5907
Phone (678) 377-9634
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 |
|---|---|---|---|
| SLP008860 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1083219422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 GRAND HICKORY DR",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305176253",
"telephone_number": "706-540-4759",
"fax_number": "678-853-7167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7033 GRAND HICKORY DR",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305176253",
"telephone_number": "706-540-4759",
"fax_number": "678-853-7167"
}
],
"practiceLocations": [
{
"address_1": "3615 Braselton Hwy Ste 103",
"address_purpose": "LOCATION",
"city": "Dacula",
"state": "GA",
"postal_code": "300195907",
"country_code": "US",
"telephone_number": "678-377-9634",
"fax_number": "678-377-9609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEMONSKY",
"first_name": "JANICE",
"middle_name": "LEA",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.