Speech on the Go, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP000669 Issued in GA

Legal business name

SPEECH ON THE GO, INC.

Practice address

4864 Red Oak Dr
Gainesville, GA 30506-5375

Phone

(678) 316-4338

Fax

(186) 635-3578

NPI assigned

Apr 5, 2011

Organization subpart

No

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

Authorized official

Name

John Russel Helton, M.A.

Title

President

Phone

(678) 316-4338

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1144519778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 RED OAK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305065375",
            "telephone_number": "678-316-4338",
            "fax_number": "186-635-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 RED OAK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305065375",
            "telephone_number": "678-316-4338",
            "fax_number": "186-635-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH ON THE GO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "HELTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RUSSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-316-4338",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP000669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000559589D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "307631",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10036211",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.