Sydney Cosette Kelley

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012073 Issued in GA

Practice address

2690 Lawrenceville Hwy
Decatur, GA 30033-2520

Phone

(678) 587-5199

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1134907934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 HARMONY RIDGE LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581512",
            "telephone_number": "901-247-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 LAWRENCEVILLE HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332520",
            "telephone_number": "678-587-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SYDNEY",
        "middle_name": "COSETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Keene, RRT
• Jamison Keenum
• Leah Michelle Kelley, LMSW
• Nicholas Owen Kelley, M.D.
• Porsha Mariah Kelley, MSN, APRN, FNP-C
• Yulonda Yvette Kelley, MA,LPC
• Angela Yvonne Kelliebrew
• Phillip Schuyler Kellogg, DPT
• Breanna Kelly, LCSW
• Byron Thomas Kelly, M.D.

• Speech-Language Pathologist in Decatur, GA
• Providers in Decatur, 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 Sep 21, 2023; 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.