Active NPI
Darius Laron Thomas, CCC-SLP
- Speech-Language Pathologist
- East Point, GA
National Provider Identifier
1104394790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08834
- Practice address
- 2599 Oak St
East Point, GA 30344-3026 - Phone
- (225) 806-1769
- NPI assigned
- Nov 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202009115 | VA | |
| Speech-Language Pathologist | 235Z00000X | SLP001252 | DC | |
| Speech-Language Pathologist | 235Z00000X | 08834 | MD | Primary |
| Speech-Language Pathologist | 235Z00000X | 32120 | CA | |
| Speech-Language Pathologist | 235Z00000X | SLP011484 | GA | |
| Speech-Language Pathologist | 235Z00000X | 8990 | LA |
Addresses
Primary practice location
2599 Oak St
East Point, GA 30344-3026
Mailing address
2599 Oak St
East Point, GA 30344-3026
Phone (404) 576-8145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2599 Oak St
East Point, GA 30344-3026
Phone (404) 576-8145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32120 | CA | MD | Pharmacist |
| 08834 | MD | MD | Occupational Therapist |
| SLP001252 | DC | MD | Speech-Language Pathologist |
| 8990 | LA | MD | Speech-Language Pathologist |
| 2202009115 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- East Point, GA
- NPI 1750920278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1104394790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2599 OAK ST",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443026",
"telephone_number": "404-576-8145",
"fax_number": "678-515-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2599 OAK ST",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443026",
"telephone_number": "225-806-1769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DARIUS",
"middle_name": "LARON",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202009115",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP001252",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08834",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "32120",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011484",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "8990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
- The Complete Women'S Group, PC
- The Jenkins Center for Evaluation/Counseling/Advocacy P.C.
- The Jones Legacy Group, LLC
- The Morehouse School of Medicine
- Theradox
- Deszerae Thomas, LMT
- Sumi Romeo Thomas, MD
- Pamela Michelle Thompson, PSY.D.
- Summer Thompson, MS, CCC-SLP
- Carlton Eugene Thorne Sr., 00101781
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.