Individual provider Active NPI

Brittany Shea Sandlin, CCC-SLP

  • Speech-Language Pathologist
  • Palmetto, GA
National Provider Identifier
1184140733
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14128513 Issued in GA
Practice address
1156 Mado Loop
Palmetto, GA 30268-2494
Phone
(229) 220-6244
NPI assigned
Aug 16, 2017
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 14128513 GA Primary

Addresses

Primary practice location

1156 Mado Loop
Palmetto, GA 30268-2494

Mailing address

1156 Mado Loop
Palmetto, GA 30268-2494
Phone (229) 220-6244

Other practice location 1

1192 Foster St NW
Atlanta, GA 30318-4329
Phone (404) 377-7436 ext. 282

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

State licenses

LicenseStateTypeSpecialty
14128513GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Howard School Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1184140733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 MADO LOOP",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682494",
            "telephone_number": "229-220-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 MADO LOOP",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682494",
            "telephone_number": "229-220-6244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1192 Foster St NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303184329",
            "country_code": "US",
            "telephone_number": "404-377-7436 x282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLIN",
        "first_name": "BRITTANY",
        "middle_name": "SHEA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "14128513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.