Active NPI
Alexandra Cavanaugh, MS, SLP
- Speech-Language Pathologist
- Calhoun, GA
National Provider Identifier
1083322242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP012383
- Practice address
- 1114 S Wall St
Calhoun, GA 30701-3062 - Phone
- (706) 624-3000
- Fax
- (706) 624-3001
- NPI assigned
- Nov 7, 2022
- 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 | SLP012383 | GA | Primary |
Addresses
Primary practice location
1114 S Wall St
Calhoun, GA 30701-3062
Mailing address
1114 S Wall St
Calhoun, GA 30701-3062
Phone (706) 624-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP012383 | Other | GA | SPEECH-LANGUAGE PATHOLOGIST LICENSE |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP012383 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1083322242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 S WALL ST",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013062",
"telephone_number": "706-624-3000",
"fax_number": "706-624-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 S WALL ST",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013062",
"telephone_number": "706-624-3000",
"fax_number": "706-624-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "ALEXANDRA",
"credential": "MS, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP012383",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGIST LICENSE",
"identifier": "SLP012383",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.