Individual provider Active NPI

Amanda Kahmann, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Columbus, GA
National Provider Identifier
1205280336
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006148 Issued in GA
Practice address
3645 Gentian Blvd Ste 3B
Columbus, GA 31907-5688
Phone
(706) 457-3883
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 SLP006148 GA Primary

Addresses

Primary practice location

3645 Gentian Blvd Ste 3B
Columbus, GA 31907-5688

Mailing address

3503 Piedmont Lake Rd
Pine Mountain, GA 31822-3566
Phone (913) 702-4575

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 Science

State licenses

LicenseStateTypeSpecialty
SLP006148GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Procom Speech-Language Services Speech-Language Pathologist CurrentSince May 24, 2020 Accepting new patients

Locations

4350 Warm Springs Rd
Ste 500
Columbus, GA 31909
Phone (706) 575-0526

3645 Gentian Blvd
Ste 3B
Columbus, GA 31907
Phone (706) 457-3883

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1205280336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 PIEDMONT LAKE RD",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318223566",
            "telephone_number": "913-702-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 GENTIAN BLVD STE 3B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075688",
            "telephone_number": "706-457-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHMANN",
        "first_name": "AMANDA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.