Sanjenetta I Lewis, M.ED CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004324 Issued in GA

Practice address

228 E Poplar St Ste D
Griffin, GA 30224-3401

Phone

(478) 227-3187

NPI assigned

Dec 20, 2007

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expressions Speech Services, LLC

  • Speech-Language Pathologist
  • Griffin, GA
  • NPI 1831861905
  NPD Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1083898431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E POPLAR ST STE D",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243401",
            "telephone_number": "478-227-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E POPLAR ST STE D",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243401",
            "telephone_number": "478-227-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SANJENETTA",
        "middle_name": "I",
        "credential": "M.ED CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leiv M Takle MD PC (Takle Eye Group)
• Maria C Lemus-Zuniga
• Melanie Patrice Lester Holder, RD, LD, CLC
• Level Seven Training Institute LLC
• Danielle Nicole Lewis, MS
• Linda Langston, LPC & Associates Inc.
• Charles A Lindsey, DMD,MSD
• James Brooks Livingston, DPM
• Karen Alicia Locke, D.C.
• Abdullah Hafeez Khan Lodhi, M.D.

• Speech-Language Pathologist in Griffin, GA
• Providers in Griffin, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.