Active NPI
Communi-Pro,LLC
- Speech-Language Pathologist
- Bishopville, SC
National Provider Identifier
1144971268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- COMMUNI-PRO,LLC
- Practice address
- 446 Manville Wisacky Rd
Bishopville, SC 29010-8329 - Phone
- (803) 856-9851
- NPI assigned
- Jan 11, 2022
- Last updated
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Davis
- Title
- Speech Pathologist
- Phone
- (803) 856-9851
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
446 Manville Wisacky Rd
Bishopville, SC 29010-8329
Mailing address
446 Manville Wisacky Rd
Bishopville, SC 29010-8329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA1810 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Speech-Language Pathologist
- Rock Hill, SC
- NPI 1619423860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1144971268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 MANVILLE WISACKY RD",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290108329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 MANVILLE WISACKY RD",
"city": "BISHOPVILLE",
"state": "SC",
"postal_code": "290108329",
"telephone_number": "803-856-9851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNI-PRO,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "803-856-9851"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SA1810",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bishopville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.