Carolyn Pellegrino, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010240 Issued in GA

Practice address

12875 Cumming Hwy
Canton, GA 30115

Phone

(770) 240-0163

Fax

(770) 240-0163

NPI assigned

Apr 10, 2014

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Joy Therapy and Learning Center LLC

  • Speech-Language Pathologist
  • Cumming, GA
  • NPI 1891280921
  NPD (past)

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1174942650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EUCLID AVE",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132606",
            "telephone_number": "850-228-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12875 CUMMING HWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30115",
            "telephone_number": "770-240-0163",
            "fax_number": "770-240-0163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Glenwood Ln",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352425700",
            "country_code": "US",
            "telephone_number": "205-969-2880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 Rose Creek Pl",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301896868",
            "country_code": "US",
            "telephone_number": "850-228-8139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLEGRINO",
        "first_name": "CAROLYN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanche Payton
• Peachtree Surgical Assistants Inc
• John David Peacock, DDS, FAGD
• Christopher Peel, PHARMD
• Sarah Turner Peele, RD
• Hannah Penaluna, RM
• Dolly Chanta'E Penn, MD, MSCR
• Karen M Pennelli, P.A
• Manuel R Peralta
• Carolyn Perilli, RN

• Speech-Language Pathologist in Canton, GA
• Providers in Canton, 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 Jul 31, 2018; 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.