Thhe Prendergast Group, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006706 Issued in GA

Legal business name

THHE PRENDERGAST GROUP, LLC

Practice address

166 Watercress CT
Stockbridge, GA 30281-7261

Phone

(404) 474-1627

Fax

(404) 474-8936

NPI assigned

Apr 28, 2011

Last updated

Apr 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tamika Prendergast, MS CCC-SLP

Title

Owner

Phone

(404) 474-1627

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tamika Thompson, MS, CCC-SLP

  • Speech-Language Pathologist
  • Stockbridge, GA
  • NPI 1861686016
  NPD (past)

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303948800000",
    "number": "1174814826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WATERCRESS CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WATERCRESS CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817261",
            "telephone_number": "404-474-1627",
            "fax_number": "404-474-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THHE PRENDERGAST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-474-1627",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Speech Therapy Group, LLC
• The Wellness Institute of Georgia, Inc.
• The Women's Health Institute of Macon, PC (Women's Health Institute at Stockbridge)
• Therapeutic Management Services
• Therapeutic Management Services LLC
• Elizabeth Thibodeaux
• Destiny Thomas
• Katriva Thomas
• Nadiya Thomas
• Natajuah Ariona Thomas, MA, BCBA

• Speech-Language Pathologist in Stockbridge, GA
• Providers in Stockbridge, 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 Apr 28, 2011; 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.