Organization Active NPI

Gilmer County Board of Education

  • Speech-Language Pathologist
  • Ellijay, GA
National Provider Identifier
1174694046
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
235Z00000N Issued in GA
Legal business name
GILMER COUNTY BOARD OF EDUCATION
Practice address
134 Industrial Blvd
Ellijay, GA 30540-3713
Phone
(706) 276-5000
Fax
(706) 276-5005
NPI assigned
Nov 13, 2006
Last updated
Oct 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
John L. Vassar
Title
Billing Administrator
Phone
(386) 884-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 235Z00000N GA Primary

Addresses

Primary practice location

134 Industrial Blvd
Ellijay, GA 30540-3713

Mailing address

134 Industrial Blvd
Ellijay, GA 30540-3713
Phone (706) 276-5000

Other identifiers 1

IdentifierTypeStateIssuer
00785243AMedicaidGA

National Provider Directory

National Provider Directory

Locations

134 Industrial Blvd
Ellijay, GA 30540
Phone (706) 276-5000

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1174694046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL BLVD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403713",
            "telephone_number": "706-276-5000",
            "fax_number": "706-276-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL BLVD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403713",
            "telephone_number": "706-276-5000",
            "fax_number": "706-276-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER COUNTY BOARD OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "VASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "386-884-9900"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "235Z00000N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00785243A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.