Forsyth Speech Therapy LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

FORSYTH SPEECH THERAPY LLC

Practice address

57 S Lee St
Forsyth, GA 31029-1700

Phone

(478) 955-1204

Fax

(478) 202-9941

NPI assigned

Jan 22, 2024

Last updated

Mar 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica P Graham, SLPNPI 1578339297

Title

Owner/SLP

Phone

(478) 955-1204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica P Graham, MED CCC-SLP

  • Speech-Language Pathologist
  • Forsyth, GA
  • NPI 1578339297
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1083475560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 KYNDALL LN",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310298762",
            "telephone_number": "478-955-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 S LEE ST",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291700",
            "telephone_number": "478-955-1204",
            "fax_number": "478-202-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "478-955-1204",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marly Wood Fields, OTR/L
• First Foundations ABA Services LLC
• James Edward Fletcher, R.PH.
• Forsyth Emergency Group LLC
• Forsyth Intervention Services and Training
• Joel Robert Fountain Jr., M.D.
• Georgia Braces Forsyth LLC
• Georgia CVS Pharmacy LLC (CVS Pharmacy #07706)
• Shannon Susanne Gonzalez, M.A., CCC-SLP
• Elizabeth Goodwin, APRN, FNP-C

• Hearing and Speech Clinic/Center in Forsyth, GA
• Providers in Forsyth, GA by specialty
• Hearing and Speech Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.