Active NPI
Brooke C. Meyers, MCD, CCC-SLP
- Speech-Language Pathologist
- North Augusta, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 421 W Five Notch Rd
North Augusta, SC 29841-9349 - Phone
- (803) 442-6090
- NPI assigned
- Dec 18, 2013
- Last updated
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
421 W Five Notch Rd
North Augusta, SC 29841-9349
Mailing address
1905 Coulter Dr
North Augusta, SC 29841-2038
Phone (803) 998-7074
Other practice location 1
2404 Columbia Hwy N
Aiken, SC 29805-9017
Phone (803) 641-2760
Other practice location 2
901 W Woodlawn Ave
North Augusta, SC 29841-5212
Phone (803) 442-6170
Other practice location 3
400 E Spring Grove Ave
North Augusta, SC 29841-3871
Phone (803) 442-6280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12154501 | Other | AMERICAN SPEECH & HEARING ASSOCIATION | |
| 7069 | Other | SC | SC BOARD OF SPEECH PATHOLOGY & AUDIOLOGY |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1164843116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 COULTER DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298412038",
"telephone_number": "803-998-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 W FIVE NOTCH RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298419349",
"telephone_number": "803-442-6090"
}
],
"practiceLocations": [
{
"address_1": "2404 Columbia Hwy N",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298059017",
"country_code": "US",
"telephone_number": "803-641-2760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 W Woodlawn Ave",
"address_purpose": "LOCATION",
"city": "North Augusta",
"state": "SC",
"postal_code": "298415212",
"country_code": "US",
"telephone_number": "803-442-6170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Spring Grove Ave",
"address_purpose": "LOCATION",
"city": "North Augusta",
"state": "SC",
"postal_code": "298413871",
"country_code": "US",
"telephone_number": "803-442-6280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYERS",
"first_name": "BROOKE",
"middle_name": "C.",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-18",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH & HEARING ASSOCIATION",
"identifier": "12154501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC BOARD OF SPEECH PATHOLOGY & AUDIOLOGY",
"identifier": "7069",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.