Individual provider Active NPI

Bhairvi Mayank Trivedi

  • Speech-Language Pathologist
  • Athens, GA
National Provider Identifier
1275120909
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010449 Issued in GA
Practice address
110 Carlton St # 593
Athens, GA 30602-5004
Phone
(706) 542-4598
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP010449 GA Primary

Addresses

Primary practice location

110 Carlton St # 593
Athens, GA 30602-5004

Mailing address

159 E Cloverhurst Ave Apt 2
Athens, GA 30605-1244
Phone (240) 780-6419

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

LicenseStateTypeSpecialty
SLP010449GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University System of Georgia Speech-Language Pathologist CurrentSince Jun 22, 2021 Accepting new patients

Locations

110 Carlton St
#593
Athens, GA 30602
Phone (706) 424-6844

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.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1275120909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E CLOVERHURST AVE APT 2",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051244",
            "telephone_number": "240-780-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CARLTON ST # 593",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306025004",
            "telephone_number": "706-542-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "BHAIRVI",
        "middle_name": "MAYANK",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.