Individual provider Active NPI

Amy V Cox, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Gainesville, GA
National Provider Identifier
1174765226
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP004271 Issued in GA
Practice address
604 Washington St NW Ste B2
Gainesville, GA 30501-8545
Phone
(770) 534-5141
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 SLP004271 GA Primary

Addresses

Primary practice location

604 Washington St NW Ste B2
Gainesville, GA 30501-8545

Mailing address

604 Washington St NW Ste B2
Gainesville, GA 30501-8545
Phone (770) 534-5141

Other identifiers 2

IdentifierTypeStateIssuer
09127539OtherAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
SLP004271OtherGAGA STATE BOARD OF EXAMINERS- SLP

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP004271GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Speech Therapy Solutions LLC Speech-Language Pathologist Past Accepting new patients
Northeast Georgia Speech Center, Inc. Speech-Language Pathologist PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1174765226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WASHINGTON ST NW STE B2",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018545",
            "telephone_number": "770-534-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WASHINGTON ST NW STE B2",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018545",
            "telephone_number": "770-534-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "AMY",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION",
            "identifier": "09127539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA STATE BOARD OF EXAMINERS- SLP",
            "identifier": "SLP004271",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.