Individual provider Active NPI

Nina Monique Santus, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Athens, GA
National Provider Identifier
1184946345
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007804 Issued in GA
Practice address
570 Aderhold HL
Athens, GA 30609-0001
Phone
(706) 542-4561
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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 007804 GA Primary

Addresses

Primary practice location

570 Aderhold HL
Athens, GA 30609-0001

Mailing address

570 Aderhold HL
Athens, GA 30602-0001
Phone (706) 542-4561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910001686 GA Practitioner - Qualified Speech Language Pathologist 6204165657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 Carlton St
Athens, GA 30602-1526
Phone (706) 542-4598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007804GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University System of Georgia Speech-Language Pathologist CurrentSince Jul 5, 2019 Accepting new patients
Board of Regents of the University System of Georgia CurrentSince Jul 5, 2019 Accepting new patients

Locations

110 Carlton St
Athens, GA 30602
Phone (706) 542-4598

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": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1184946345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 ADERHOLD HL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306020001",
            "telephone_number": "706-542-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ADERHOLD HL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306090001",
            "telephone_number": "706-542-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTUS",
        "first_name": "NINA",
        "middle_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "007804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.