Georgia M Phillips CCC SLP LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10313 Issued in TX

Legal business name

GEORGIA M PHILLIPS CCC SLP LLC

Practice address

2600 Old Alice Rd Ste D
Brownsville, TX 78521-1456

Phone

(956) 982-8578

Fax

(956) 350-8999

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Georgia M Phillips, CCC SLPNPI 1366468050

Title

Sole Owner

Phone

(956) 793-3252

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Georgia M Phillips, CCC-SLP

  • Speech-Language Pathologist
  • Brownsville, TX
  • NPI 1366468050
  NPD (past) Authorized official

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1235517400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TESORO AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759539",
            "telephone_number": "956-793-3252",
            "fax_number": "956-350-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD ALICE RD STE D",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211456",
            "telephone_number": "956-982-8578",
            "fax_number": "956-350-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA M PHILLIPS CCC SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "956-793-3252",
        "authorized_official_credential": "CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161372101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1366468050",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edelmiro Gaytan, LMT
• Miguel Heriberto Gaytan, LPC
• Caroline Gea, RD, LD
• Jean Gemelli
• Genoa Healthcare LLC
• Georgia M Phillips CCC-SLP, LLC
• Gerica Medical Supplies, Inc
• Get Better Home Health Care LLC
• Sandra V Gilchrist, PT
• GL Hospice Care LLC

• Speech-Language Pathologist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.