Active NPI
Sydney Swims Johnson
- Speech-Language Pathologist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14287042
- Practice address
- 181 Marrakesh Cir
Memphis, TN 38103-5829 - Phone
- (731) 694-2263
- NPI assigned
- Jul 12, 2021
- Last updated
- Aug 2, 2024
- 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 | 14287042 | TN | Primary |
Addresses
Primary practice location
181 Marrakesh Cir
Memphis, TN 38103-5829
Mailing address
1644 Brookside Dr
Germantown, TN 38138-2530
Phone (731) 694-2263
Other practice location 1
120 Windemere Cir
Jackson, TN 38305-3946
Phone (731) 694-2263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Carrick CT
Mt Juliet, TN 37122-8328
Phone (615) 380-4843
2180 Mangum Rd
Memphis, TN 38134-5810
Phone (901) 307-7741
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14287042 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ave Maria Home | Current | Accepting new patients | |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
2805 Charles Bryan Rd
Bartlett, TN 38134
Phone (901) 386-3211
2180 Mangum Rd
Memphis, TN 38134
Phone (901) 307-7741
Organizations & group practices 5
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.
-
- Physical Therapist
- Germantown, TN
- NPI 1174308647
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Mount Juliet, TN
- NPI 1467023861
-
- Nursing Facility/Intermediate Care Facility
- Memphis, TN
- NPI 1831250604
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1932072030
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1215509047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1644 BROOKSIDE DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382530",
"telephone_number": "731-694-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 MARRAKESH CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381035829",
"telephone_number": "731-694-2263"
}
],
"practiceLocations": [
{
"address_1": "120 Windemere Cir",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383053946",
"country_code": "US",
"telephone_number": "731-694-2263",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "SYDNEY",
"middle_name": "SWIMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "14287042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.