Active NPI
Mary Reid McGowan, CCC-SLP
- Speech-Language Pathologist
- Greenville, SC
National Provider Identifier
1114445962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6218
- Practice address
- 100 Berea Dr
Greenville, SC 29617-2103 - Phone
- (864) 355-1538
- NPI assigned
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6218 | SC | Primary |
Addresses
Primary practice location
100 Berea Dr
Greenville, SC 29617-2103
Mailing address
100 Berea Dr
Greenville, SC 29617-2103
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1114445962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BEREA DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296172103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BEREA DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296172103",
"telephone_number": "864-355-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "MARY",
"middle_name": "REID",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.