Swallowing Doctor

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SWALLOWING DOCTOR

Practice address

1691 Phoenix Blvd Ste 395
Atlanta, GA 30349-5511

Phone

(678) 545-0273

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kwesi Adedeji-Watson, EED-SLPNPI 1053921858

Title

Clinician

Phone

(678) 545-0272

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kwesi Adedeji Watson, SLP

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1053921858
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1134714074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 PHOENIX BLVD STE 395",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495511",
            "telephone_number": "678-545-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 PHOENIX BLVD STE 395",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495511",
            "telephone_number": "678-545-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWALLOWING DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "ADEDEJI-WATSON",
        "authorized_official_first_name": "KWESI",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "678-545-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EED-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Swain, PA-C
• Nia Marie Swain
• Emilyn Swales, RPH
• Jennifer Bundrick Swales, PH.D.
• Swallow Care LLC
• Rajeev Harish Swami, MD
• Mahesh Swaminathan, M.D.
• Courtney Caroline Swan
• Stephanie Kay Swann, PH.D., LCSW
• Alexandria Swanson, PA

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, 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 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.