Individual provider Active NPI

Nyesha Charmaine Climpson, CCC-SLP

  • Speech-Language Pathologist
  • Lawrenceville, GA
National Provider Identifier
1144837550
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP012805 Issued in GA
Practice address
490 S Perry St
Lawrenceville, GA 30046-4837
Phone
(678) 278-9244
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP012805 GA Primary
Speech-Language Pathologist 235Z00000X SLP.0005792 CO

Addresses

Primary practice location

490 S Perry St
Lawrenceville, GA 30046-4837

Mailing address

490 S Perry St
Lawrenceville, GA 30046-4837
Phone (678) 278-9244

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

LicenseStateTypeSpecialty
SLP.0005792COMDSpeech-Language Pathologist
SLP012805GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JMJ Speech & Language Solutions Speech-Language Pathologist PastSince Mar 12, 2024 Accepting new patients
Atlanta Pediatric Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1144837550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 S PERRY ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464837",
            "telephone_number": "678-278-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 S PERRY ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464837",
            "telephone_number": "678-278-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIMPSON",
        "first_name": "NYESHA",
        "middle_name": "CHARMAINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012805",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.