Michelle Pearson McDaniel, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Carthage, MS
NPI 1134400856 · NPPES record last updated Sep 8, 2011
Key facts
- NPI
- 1134400856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S2925 (MS)
- Practice address
- 730 Highway 35 S
Carthage, MS 39051-5802 - Phone
- (601) 267-8333
- Fax
- (601) 267-5550
- NPI assigned
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571
PO Box
Suite 11407
Birmingham, AL 35246
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260603002461 | MS | Practitioner - Qualified Speech Language Pathologist | 3577034255 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S2925 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sta-Home Health Agency of Carthage, Inc | Past | Accepting new patients | |
| Sta-Home Health Agency of Jackson, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S2925 | MS | Yes |
Addresses
Primary practice location
730 Highway 35 S
Carthage, MS 39051-5802
Mailing address
117 Beatrice LN
Brandon, MS 39047-4607
Phone (601) 724-1114
Other providers in Carthage, MS
- Madden Medical Clinic LLC
- Philip Wayne Marler
- Crystal Howell Martin
- Dawn McBounds
- Chiquita McClendon
- William B McKinley
- April McLellan
- Medical Foundation of Central Ms Inc.
- Kaitlin Medlin
- Mississippi Band of Choctaw Indians
All providers in Carthage, MS · Speech-Language Pathologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.