Active NPI
Meredith Pharr, CCC-SLP
- Speech-Language Pathologist
- Clermont, GA
National Provider Identifier
1144634932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004426
- Practice address
- 130 Main St
Clermont, GA 30527-1804 - Phone
- (678) 616-3099
- Fax
- (770) 406-6840
- NPI assigned
- Jun 19, 2014
- Last updated
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP004426 | GA | Primary |
Addresses
Primary practice location
130 Main St
Clermont, GA 30527-1804
Mailing address
2741 Quillians Dr
Gainesville, GA 30506-2885
Phone (678) 616-3099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP004426 | Other | GA | GA SECRETARY OF STATE LICENSING BOARD |
| 09136035 | Other | ASHA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP004426 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Pediatric Therapy of Gainesville LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Gainesville, GA
- NPI 1306440177
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1144634932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 QUILLIANS DR",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305062885",
"telephone_number": "678-616-3099",
"fax_number": "770-406-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAIN ST",
"city": "CLERMONT",
"state": "GA",
"postal_code": "305271804",
"telephone_number": "678-616-3099",
"fax_number": "770-406-6840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHARR",
"first_name": "MEREDITH",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA SECRETARY OF STATE LICENSING BOARD",
"identifier": "SLP004426",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "09136035",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.