Shavontai Graham, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012857 Issued in GA

Practice address

2150 Southwood CV SW Unit 131
Atlanta, GA 30331-5880

Phone

(803) 342-0283

NPI assigned

Jul 11, 2022

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

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 and National Provider Directory roles.

• Speech and Language Therapy Soultions

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1790534493
  NPD Authorized official

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1194459800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SOUTHWOOD CV SW UNIT 131",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315880",
            "telephone_number": "803-342-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 SOUTHWOOD CV SW UNIT 131",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315880",
            "telephone_number": "803-342-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SHAVONTAI",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Graham, PA-C
• Leroy M Graham, MD
• Malcolm Graham, M.D.
• Margaret Graham, PTA
• Sandra Hunt Graham, NP
• Toby Bernard Graham Jr.
• Todd C Graham
• Abigail Marie Grahek, CRNA
• Jennie Graiser
• Samuel Benjamin Graitcer, M.D.

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, 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 May 15, 2024; 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.