Eboni Byers

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010208 Issued in GA

Practice address

5408 Park Cir
Stone Mountain, GA 30083-2260

Phone

(470) 234-7550

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1104308477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 MCKENNA SQUARE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585698",
            "telephone_number": "205-447-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 PARK CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832260",
            "telephone_number": "470-234-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERS",
        "first_name": "EBONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Stone Mountain, GA
• Providers in Stone Mountain, 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 4, 2018; 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.