Active NPI
Taylor G.E. McIntyre, M.A. CCC-SLP
- Speech-Language Pathologist
- Brookhaven, GA
National Provider Identifier
1194555375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 035049
- Practice address
- 1254 Epping LN
Brookhaven, GA 30319-1133 - Phone
- (347) 374-0953
- NPI assigned
- Aug 3, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP012606 | GA | |
| Speech-Language Pathologist | 235Z00000X | 01838111 | NJ | |
| Speech-Language Pathologist | 235Z00000X | 035049 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 2202011268 | VA |
Addresses
Primary practice location
1254 Epping LN
Brookhaven, GA 30319-1133
Mailing address
1254 Epping LN
Brookhaven, GA 30319-1133
Phone (404) 477-4165
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP012606 | GA | MD | Speech-Language Pathologist |
| 01838111 | NJ | MD | Speech-Language Pathologist |
| 035049 | NY | MD | Speech-Language Pathologist |
| 2202011268 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1194555375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 EPPING LN",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191133",
"telephone_number": "404-477-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 EPPING LN",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303191133",
"telephone_number": "347-374-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTYRE",
"first_name": "TAYLOR",
"middle_name": "G.E.",
"name_prefix": "Ms.",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-03",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP012606",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "01838111",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "035049",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202011268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.