Active NPI
Billie Suanne Griffin, M.A., CCC-SLP
- Speech-Language Pathologist
- Jackson, TN
National Provider Identifier
1205094422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1119 Old Humboldt Rd
Jackson, TN 38305-1752 - Phone
- (731) 554-5169
- Fax
- (731) 668-1666
- NPI assigned
- May 23, 2008
- Last updated
- Apr 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | TN | Primary |
Addresses
Primary practice location
1119 Old Humboldt Rd
Jackson, TN 38305-1752
Mailing address
1119 Old Humboldt Rd
Jackson, TN 38305-1752
Phone (731) 554-5169
Other names 1
- Billie Suanne Williams
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Center, Inc. | 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.
-
- Rehabilitation Clinic/Center
- Jackson, TN
- NPI 1588738157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1205094422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 OLD HUMBOLDT RD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051752",
"telephone_number": "731-554-5169",
"fax_number": "731-668-1666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 OLD HUMBOLDT RD",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051752",
"telephone_number": "731-554-5169",
"fax_number": "731-668-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "BILLIE",
"middle_name": "SUANNE",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BILLIE",
"last_name": "WILLIAMS",
"middle_name": "SUANNE",
"credential": "M.A., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.