Stephanie McClure Adrian, DMA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Roswell, GA
NPI 1205667367 · NPPES record last updated Aug 12, 2024
Key facts
- NPI
- 1205667367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP013110 (GA)
- Practice address
- 5020 Broughton St
Roswell, GA 30075-2595 - Phone
- (614) 307-0240
- NPI assigned
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5020 Broughton St
Roswell, GA 30075-2595
609 Main St
Warsaw, OH 43844-3500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260128003955 | GA | Practitioner - Qualified Speech Language Pathologist | 5890273171 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP013110 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trio Voice & Speech Consulting LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP013110 | GA | Yes |
Addresses
Primary practice location
5020 Broughton St
Roswell, GA 30075-2595
Mailing address
5020 Broughton St
Roswell, GA 30075-2595
Phone (614) 307-0240
Other providers in Roswell, GA
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- Brooke Adler
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- Adult Neurology of North Atlanta, P.C.
- Advance Medical Solutions
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- Advanced Family Wellness, L.L.C.
All providers in Roswell, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.