Laura Beth McRay, MS.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP003317 Issued in GA

Practice address

304 E 6TH Ave
Rome, GA 30161-6000

Phone

(706) 378-9044

Fax

(706) 378-9046

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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.

• Infinity Children'S Services, Inc.

  • Speech-Language Pathologist
  • Rome, GA
  • NPI 1558412775
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 4, 2015.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1104978717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BLUFF MOUNTAIN DR SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301654155",
            "telephone_number": "706-378-9044",
            "fax_number": "706-378-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 6TH AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616000",
            "telephone_number": "706-378-9044",
            "fax_number": "706-378-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAY",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "credential": "MS.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000790083C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10047120",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "52661395",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336838",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leisa McMichael, R.N.
• James Ruel McMillian, M.D.
• Jonathan Wayne McMullin, OD
• Brian Douglas McNiece, MD
• Douglas E McNiece, PA
• Lindsey Pence McStotts, M.ED., CCC-SLP
• Me Pivot Holdings LLC
• Michelle Meadows, LCSW
• Phillip Taylor Meadows, FNP-C
• Medeasy, Inc.

• All providers in Rome, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.