Anita Bullock-Morley, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005096 Issued in GA

Practice address

1892 Hosea L Williams Dr NE
Atlanta, GA 30317-2239

Phone

(404) 720-4278

NPI assigned

Dec 12, 2006

Last updated

Sep 28, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Communication Interventions

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1356740658
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1174684443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 HOSEA L WILLIAMS DRIVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172509",
            "telephone_number": "404-720-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 HOSEA L WILLIAMS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172239",
            "telephone_number": "404-720-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK-MORLEY",
        "first_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "005096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000918255B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Ann Bullard, CPNP
• Katherine Ann Bullers, RN
• Quenshanta Bullet, FNP
• Katie Leigh Bullinger
• Emily Bullington
• Adam Thomas Bullock, RN
• Alyssa Bullock
• Evenna Bullock
• Jacqueline Yvonne Bullock
• Keith Eldon Bullock, M.S., CCC/ SLP

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, 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 Sep 28, 2012; 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.