Active NPI
Janelle Eloise Bingham, CCC-SLP
- Speech-Language Pathologist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008593
- Practice address
- 4535 Flat Shoals Pkwy
Suite 301
Decatur, GA 30034-5039 - Phone
- (704) 877-7710
- NPI assigned
- Apr 17, 2007
- Last updated
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 016472 | NY | |
| Speech-Language Pathologist | 235Z00000X | 7687 | NC | |
| Speech-Language Pathologist | 235Z00000X | SLP008593 | GA | Primary |
Addresses
Primary practice location
4535 Flat Shoals Pkwy
Suite 301
Decatur, GA 30034-5039
Mailing address
1090 Montclair Way
Snellville, GA 30078-7323
Phone (704) 877-7710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412765 | Medicaid | NC | |
| 146A7 | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7687 | NC | MD | Mental Health Counselor |
| 016472 | NY | MD | Occupational Therapist |
| SLP008593 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
5555 Glenridge Connector
Sandy Springs, GA 30342
Phone (202) 276-9478
5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516
7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
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": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1184840308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 MONTCLAIR WAY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300787323",
"telephone_number": "704-877-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 FLAT SHOALS PKWY",
"address_2": "SUITE 301",
"city": "DECATUR",
"state": "GA",
"postal_code": "300345039",
"telephone_number": "704-877-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "JANELLE",
"middle_name": "ELOISE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016472",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7687",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412765",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "146A7",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
- Bonnie T Biles, MD
- William C Billips, MD
- Michael Billman
- Kendrea J Bills
- Elizabeth Ann Bilodeau, DMD, MD
- Cailey Ann Binkley, M.ED.
- Bio-Medical Applications of Georgia, Inc. (FMC Dialysis Services Snapfinger)
- Bio-Medical Applications of Georgia, Inc. (Fmcna Dialysis Services of Decatur)
- Bio-Medical Applications of Georgia, Inc. (Bma Dekalb Gwinnett)
- Biologic Behavioral LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.