Mandy M Buffington, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006528 Issued in GA

Practice address

11539 Park Woods Cir
Suite 502
Alpharetta, GA 30005-4413

Phone

(678) 527-3224

Fax

(678) 366-5886

NPI assigned

May 4, 2007

Last updated

Jul 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tots, Inc.

  dba Kiddos' Clubhouse

  • Pediatric Occupational Therapist
  • Alpharetta, GA
  • NPI 1790747962

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1235341165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11539 PARK WOODS CIR",
            "address_2": "SUITE 502",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054413",
            "telephone_number": "678-527-3224",
            "fax_number": "678-366-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11539 PARK WOODS CIR",
            "address_2": "SUITE 502",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054413",
            "telephone_number": "678-527-3224",
            "fax_number": "678-366-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFINGTON",
        "first_name": "MANDY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417016176B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney L Buck, RD,LDN
• Danielle Buckles, RDH
• Zaria Buckner
• Nicole E Buddle-Diaz, LCSW
• Alexis Buelow, FNP
• Kailynn Buissereth
• Irina Bukshteyn, FNP-C
• Nelson David Bulmash, DC
• Elita Bundrage, PHARMD
• Virginia Maria Bundy, FNP-C

• Speech-Language Pathologist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.