Organization Active NPI

Smart Mouths Speech Therapy

  • Speech-Language Pathologist
  • McDonough, GA
National Provider Identifier
1255834669
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007253 Issued in GA
Legal business name
SMART MOUTHS SPEECH THERAPY
Practice address
242 Grandiflora Dr
McDonough, GA 30253-8012
Phone
(757) 714-6224
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Stacy Albertine Williams, MA, CCC-SLP
Title
Owner/Speech Language Pathologist
Phone
(757) 714-6224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP007253 GA Primary

Addresses

Primary practice location

242 Grandiflora Dr
McDonough, GA 30253-8012

Mailing address

242 Grandiflora Dr
McDonough, GA 30253-8012
Phone (757) 714-6224

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1255834669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GRANDIFLORA DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538012",
            "telephone_number": "757-714-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 GRANDIFLORA DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538012",
            "telephone_number": "757-714-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART MOUTHS SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ALBERTINE",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "757-714-6224",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.