Individual provider Active NPI

Laurie M. Karam, M.ED.,CCC-SP

  • Speech-Language Pathologist
  • Griffin, GA
National Provider Identifier
1114003571
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1412 Issued in GA
Practice address
110 W Poplar St
Griffin Speech Services
Griffin, GA 30224-3031
Phone
(770) 229-8747
Fax
(770) 229-8747
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1412 GA Primary

Addresses

Primary practice location

110 W Poplar St
Griffin Speech Services
Griffin, GA 30224-3031

Mailing address

110 W Poplar St
Griffin Speech Services
Griffin, GA 30224-3031
Phone (770) 229-8747

Other identifiers 1

IdentifierTypeStateIssuer
00583294BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
1412GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114003571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W POPLAR ST",
            "address_2": "GRIFFIN SPEECH SERVICES",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243031",
            "telephone_number": "770-229-8747",
            "fax_number": "770-229-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W POPLAR ST",
            "address_2": "GRIFFIN SPEECH SERVICES",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302243031",
            "telephone_number": "770-229-8747",
            "fax_number": "770-229-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAM",
        "first_name": "LAURIE",
        "middle_name": "M.",
        "credential": "M.ED.,CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00583294B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.