Active NPI
Courtney C Green, MSP, CCC-SLP
- Speech-Language Pathologist
- Fort Mill, SC
National Provider Identifier
1235379728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4319
- Practice address
- 2848 Pleasant Road
Suite 101
Fort Mill, SC 29708-9494 - Phone
- (800) 779-4089
- Fax
- (803) 547-9706
- NPI assigned
- Feb 24, 2009
- 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 | 4319 | SC | Primary |
Addresses
Primary practice location
2848 Pleasant Road
Suite 101
Fort Mill, SC 29708-9494
Mailing address
1678 Durant Drive
Rock Hill, SC 29732
Phone (803) 415-0425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4319 | Other | SC | SC LICENSE |
Other names 1
- Courtney Mackey
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4319 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1235379728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1678 DURANT DRIVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "29732",
"telephone_number": "803-415-0425",
"fax_number": "803-366-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2848 PLEASANT ROAD",
"address_2": "SUITE 101",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297089494",
"telephone_number": "800-779-4089",
"fax_number": "803-547-9706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "COURTNEY",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "MSP, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "4319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE",
"identifier": "4319",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "MACKEY",
"credential": "MSP, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.