Active NPI
Jenai Huff
- Speech-Language Pathologist
- Peachtree Corners, GA
National Provider Identifier
1205497195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PCET002878
- Practice address
- 3867 Holcomb Bridge Rd Ste 400
Peachtree Corners, GA 30092-2232 - Phone
- (770) 446-0911
- Fax
- (844) 315-9608
- NPI assigned
- Jun 22, 2019
- Last updated
- Jun 22, 2019
- 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 | PCET002878 | GA | Primary |
Addresses
Primary practice location
3867 Holcomb Bridge Rd Ste 400
Peachtree Corners, GA 30092-2232
Mailing address
10103 Deep Creek Dr
Union City, GA 30291-6015
Phone (678) 472-5930
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET002878 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Time 4 Speech Therapy LLC | Current | 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.
-
- Hearing and Speech Clinic/Center
- Fayetteville, GA
- NPI 1861106163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561161600000",
"number": "1205497195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10103 DEEP CREEK DR",
"city": "UNION CITY",
"state": "GA",
"postal_code": "302916015",
"telephone_number": "678-472-5930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3867 HOLCOMB BRIDGE RD STE 400",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922232",
"telephone_number": "770-446-0911",
"fax_number": "844-315-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFF",
"first_name": "JENAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-22",
"last_updated": "2019-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET002878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.