Susan Johnson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004972 Issued in GA

Practice address

353 Ambrose Creek Dr
Sugar Hill, GA 30518-7870

Phone

(770) 235-4582

NPI assigned

Sep 20, 2006

Last updated

Jan 5, 2009By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1164529210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 AMBROSE CREEK DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187870",
            "telephone_number": "770-235-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 AMBROSE CREEK DR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305187870",
            "telephone_number": "770-235-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Healthcare Center of Sugar Hill LLC
• Melissa M Jaerling, M.S., CCC-SLP
• James G Davis DDS PC
• Sarah Johansson
• Michelle Davis Johnson, FNP-C
• Tiffany Monet Jones, OD
• Bridgett Lynn Jorgensen, D.M.D.
• Just Heal Counseling
• Daesung Kim
• Mark Andrew Kral, RPH

• Speech-Language Pathologist in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.