Individual provider Active NPI

Alison Marsh Tucker, M ED CCCSLP CERT AVT

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1083687370
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP001748 Issued in GA
Practice address
1875 Century Blvd NE Ste 200
Atlanta, GA 30345-3314
Phone
(404) 633-8911
Fax
(404) 633-6403
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 SLP001748 GA Primary

Addresses

Primary practice location

1875 Century Blvd NE Ste 200
Atlanta, GA 30345-3314

Mailing address

1875 Century Blvd NE Ste 200
Atlanta, GA 30345-3314
Phone (404) 633-8911

Other practice location 1

1901 Century Blvd NE
Suite 20
Atlanta, GA 30345-3300
Phone (404) 633-8911 ext. 231

Other identifiers 1

IdentifierTypeStateIssuer
048342119AMedicaidGA

Other names 1

  • Mrs. Alison Marsh Tucker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170428001679 GA Practitioner - Qualified Speech Language Pathologist 0749567733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Auditory-Verbal Center IncGroup PAC ID 0547252082, 3 clinicians

Practice addresses (Care Compare)

1875 Century Blvd NE
Suite 200
Atlanta, GA 30345-3314
Phone (404) 633-8911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Auditory Verbal Center Inc CurrentSince May 1, 2022 Accepting new patients

Locations

1875 Century Blvd NE
Ste 200
Atlanta, GA 30345
Phone (404) 633-8911

1901 Century Blvd NE
Ste 20
Atlanta, GA 30345
Phone (404) 633-8911

277 Martin Luther King Jr Blvd
Ste 104
Macon, GA 31201
Phone (478) 741-0019

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1083687370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 CENTURY BLVD NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453314",
            "telephone_number": "404-633-8911",
            "fax_number": "404-633-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 CENTURY BLVD NE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453314",
            "telephone_number": "404-633-8911",
            "fax_number": "404-633-6403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Century Blvd NE",
            "address_2": "Suite 20",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303453300",
            "country_code": "US",
            "telephone_number": "404-633-8911 x231",
            "fax_number": "404-633-6403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ALISON",
        "middle_name": "MARSH",
        "name_prefix": "Mrs.",
        "credential": "M ED CCCSLP CERT AVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048342119A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "TUCKER",
            "middle_name": "MARSH",
            "prefix": "MRS.",
            "credential": "M ED CCCSLP CERT AVT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.