Active NPI
Leanne W McGowan, SLP
- Speech-Language Pathologist
- Grovetown, GA
National Provider Identifier
1164599312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005236
- Practice address
- 444 Park 20 W
Grovetown, GA 30813-3216 - Phone
- (706) 868-6543
- Fax
- (706) 868-9579
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005236 | GA | Primary |
Addresses
Primary practice location
444 Park 20 W
Grovetown, GA 30813-3216
Mailing address
2935 Foxhall Cir
Augusta, GA 30907-3607
Phone (706) 267-8328
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005236 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164599312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 FOXHALL CIR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309073607",
"telephone_number": "706-267-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 PARK 20 W",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308133216",
"telephone_number": "706-868-6543",
"fax_number": "706-868-9579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWAN",
"first_name": "LEANNE",
"middle_name": "W",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.