Individual provider Active NPI

Jennifer Morris-Scott, CCC-SLP

  • Speech-Language Pathologist
  • Suwanee, GA
National Provider Identifier
1164587531
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP004508 Issued in GA
Practice address
4955 Wiltshire LN
Suwanee, GA 30024-1380
Phone
(678) 481-0536
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP004508 GA Primary

Addresses

Primary practice location

4955 Wiltshire LN
Suwanee, GA 30024-1380

Mailing address

3245 Peachtree Pkwy Ste D-236
Suwanee, GA 30024-6054
Phone (678) 481-0536

Other identifiers 1

IdentifierTypeStateIssuer
000879403BMedicaidGA

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
SLP004508GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy Specialists of Atlanta, LLC Speech-Language Pathologist CurrentSince May 22, 2022 Accepting new patients

Locations

3245 Peachtree Pkwy
Ste D236
Suwanee, GA 30024

Organizations & group practices 1

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1164587531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 PEACHTREE PKWY STE D-236",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246054",
            "telephone_number": "678-481-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 WILTSHIRE LN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241380",
            "telephone_number": "678-481-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRIS-SCOTT",
        "first_name": "JENNIFER",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000879403B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.