Treva Tai Bibbs-Bugg, M.ED-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009343 Issued in GA

Practice address

3123 Klondike Rd
Lithonia, GA 30038-3409

Phone

(770) 482-3828

NPI assigned

Mar 11, 2019

Last updated

Mar 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1134687908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 HILLANDALE PARK DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588839",
            "telephone_number": "404-917-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 KLONDIKE RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383409",
            "telephone_number": "770-482-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBBS-BUGG",
        "first_name": "TREVA",
        "middle_name": "TAI",
        "name_prefix": "Ms.",
        "credential": "M.ED-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Bennett II, DPT
• Nzinga Benton, LPC, NCC
• Elizabeth Anne Berlin, P.A.
• Beth a Harper Rodriguez
• Iman Bhayani
• Big Mommas' House PCH Inc
• Shawanda Bigby
• Billie Gill-Chestnut Therapist Inc
• Floyd Billups
• Cecelia Bing, NP-C

• Speech-Language Pathologist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.