Organization Active NPI

Speech Masters, LLC

  • Speech-Language Pathologist
  • Martinez, GA
National Provider Identifier
1154845162
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005772 Issued in GA
Legal business name
SPEECH MASTERS, LLC
Practice address
3714 Pavilion Dr
Martinez, GA 30907-4966
Phone
(706) 951-8190
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kimberly Mitchell Pope, M.ED. CCC-SLP
Title
Speech Language Pathologist
Phone
(706) 951-8190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP005772 GA Primary

Addresses

Primary practice location

3714 Pavilion Dr
Martinez, GA 30907-4966

Mailing address

3714 Pavilion Dr
Martinez, GA 30907-4966
Phone (706) 951-8190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154845162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 PAVILION DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074966",
            "telephone_number": "706-951-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 PAVILION DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074966",
            "telephone_number": "706-951-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH MASTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "706-951-8190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.