Carla Addison Graham, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007429 Issued in GA

Practice address

104 Flat Tail Way
Greer, SC 29651-2807

Phone

(540) 525-0310

NPI assigned

Jan 27, 2013

Last updated

Feb 10, 2014By the provider in NPPES

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

Enrolled in SC

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Little River, SC
  • NPI 1366063000

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Creative Health Care Management, LLC

  dba Vertis Therapy

  • Physical Therapist
  • Murrells Inlet, SC
  • NPI 1407463128

  Speech-Language Pathologist

  Medicare reassignment NPD
• The Weston Group of South Carolina Inc

  • Physical Therapist
  • Bluffton, SC
  • NPI 1073957064

  Speech-Language Pathologist

  Medicare reassignment NPD
• Creative Health Care Management LLC

  dba Vertis Therapy

  • Physical Therapist
  • Kansas City, KS
  • NPI 1033866975

  Speech-Language Pathologist

  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1154669018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FLAT TAIL WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296512807",
            "telephone_number": "540-525-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 FLAT TAIL WAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296512807",
            "telephone_number": "540-525-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CARLA",
        "middle_name": "ADDISON",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-27",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Gonzalez
• Delaney Goodger
• Collin Garret Goodin, PTA
• Lauren Looper Gore, PA-C
• Grace & Growth, LLC
• Emily Grant
• Ronald Lloyd Gray, DMD
• Greater Greer Pain Relief Center, LLC
• Natalie Green
• Sandra Adams Green, MSW

• Speech-Language Pathologist in Greer, SC
• Providers in Greer, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.