Individual provider Active NPI

Cierra Caldwell

  • Speech-Language Pathologist
  • Cumming, GA
National Provider Identifier
1205566148
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP012096 Issued in GA
Practice address
2285 Peachtree Pkwy
Cumming, GA 30041-7245
Phone
(404) 475-2559
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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 SLP012096 GA Primary

Addresses

Primary practice location

2285 Peachtree Pkwy
Cumming, GA 30041-7245

Mailing address

2740 E College Ave Apt 319
Decatur, GA 30030-3143
Phone (419) 480-7275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220623000464 GA Practitioner - Qualified Speech Language Pathologist 0749669604 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Georgia, LLC Speech-Language Pathologist CurrentSince Jun 15, 2022 Accepting new patients

Locations

2351 Cedarcrest Rd
Acworth, GA 30101
Phone (770) 299-0327

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

253 N Main St
Alpharetta, GA 30009
Phone (770) 299-0345

1291 Cedar Shoals Dr
Athens, GA 30605
Phone (706) 227-0919

890 Scranton Rd
Brunswick, GA 31525
Phone (281) 832-4022

1479 Grove Park Dr
Columbus, GA 31904
Phone (706) 222-7188

1352 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-1654

10050 Eagle Dr
Covington, GA 30014
Phone (678) 248-8138

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

4940 Jot Em Down Rd
Cumming, GA 30041
Phone (678) 358-6200

4605 Timber Ridge Dr
Douglasville, GA 30135
Phone (470) 347-9868

212 Fairview Park Dr
Dublin, GA 31021
Phone (478) 275-9888

1294 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-9010

5373 Thompson Mill Rd
Hoschton, GA 30548
Phone (678) 358-6200

200 Mountain Blvd S
Jasper, GA 30143
Phone (706) 253-0431

5050 Kimball Bridge Rd
Johns Creek, GA 30005
Phone (678) 395-4202

550 Barrington Dr
Roswell, GA 30075
Phone (678) 436-8672

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

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": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1205566148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 E COLLEGE AVE APT 319",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303143",
            "telephone_number": "419-480-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417245",
            "telephone_number": "404-475-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "CIERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.