Active NPI
Melissa Rose Allen, M.S.
- Speech-Language Pathologist
- Columbus, GA
National Provider Identifier
1225436611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008740
- Practice address
- 2424 Double Churches Rd
Columbus, GA 31909-2741 - Phone
- (706) 324-6112
- Fax
- (706) 596-8259
- NPI assigned
- Dec 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 | SLP008740 | GA | Primary |
Addresses
Primary practice location
2424 Double Churches Rd
Columbus, GA 31909-2741
Mailing address
1384 N Clinton Ave
Apt 114
Bay Shore, NY 11706-4024
Phone (631) 578-0372
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008740 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Speech & Hearing Center | Speech-Language Pathologist | Past | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Columbus, GA
- NPI 1467576140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1225436611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1384 N CLINTON AVE",
"address_2": "APT 114",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117064024",
"telephone_number": "631-578-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 DOUBLE CHURCHES RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092741",
"telephone_number": "706-324-6112",
"fax_number": "706-596-8259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "MELISSA",
"middle_name": "ROSE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008740",
"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 Dec 24, 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.