Individual provider Active NPI

Brooke C. Meyers, MCD, CCC-SLP

  • Speech-Language Pathologist
  • North Augusta, SC
National Provider Identifier
1164843116
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 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

IdentifierTypeStateIssuer
12154501OtherAMERICAN SPEECH & HEARING ASSOCIATION
7069OtherSCSC 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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.