Active NPI
Mariana Simpson-Walker, SLP
- Speech-Language Pathologist
- Decatur, GA
National Provider Identifier
1205187572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007933
- Practice address
- 4262 Clausell CT Ste a
Decatur, GA 30035 - Phone
- (678) 713-4609
- Fax
- (844) 308-4956
- NPI assigned
- Sep 27, 2012
- Last updated
- Jun 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP007933 | NU | Primary |
Addresses
Primary practice location
4262 Clausell CT Ste a
Decatur, GA 30035
Mailing address
4262 Clausell CT Ste a
Decatur, GA 30035-1916
Phone (678) 713-4609
Other practice location 1
4961 Buford Hwy
Ste 201
Chamblee, GA 30341-3535
Phone (404) 575-4000
Other names 1
- Mariana Simpson
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Pediatric Therapy, Inc. | Past | Accepting new patients | |
| Fitly Spoken, LLC | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Decatur, GA
- NPI 1992202162
-
- Early Intervention Provider Agency
- Chamblee, GA
- NPI 1578622593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1205187572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4262 CLAUSELL CT STE A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300351916",
"telephone_number": "678-713-4609",
"fax_number": "844-308-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4262 CLAUSELL CT STE A",
"city": "DECATUR",
"state": "GA",
"postal_code": "30035",
"telephone_number": "678-713-4609",
"fax_number": "844-308-4956"
}
],
"practiceLocations": [
{
"address_1": "4961 Buford Hwy",
"address_2": "STE 201",
"address_purpose": "LOCATION",
"city": "Chamblee",
"state": "GA",
"postal_code": "303413535",
"country_code": "US",
"telephone_number": "404-575-4000",
"fax_number": "404-692-5584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON-WALKER",
"first_name": "MARIANA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-27",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": "SLP007933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANA",
"last_name": "SIMPSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.