NPIMap

Individual provider Active NPI

Anita Sumner, CCC-SLP

  • Speech-Language Pathologist
  • Saint Marys, GA
National Provider Identifier
1275945131
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET001926 Issued in GA
Practice address
2015 Osborne Rd
Unit a
Saint Marys, GA 31558-9165
Phone
(912) 576-9603
Fax
(912) 576-9865
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

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
PCET001926GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance for Kids Inc Speech-Language Pathologist Past Accepting new patients
Crew Speech & Language Group, Inc Speech-Language Pathologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PCET001926 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2015 Osborne Rd
Unit a
Saint Marys, GA 31558-9165

Mailing address

2015 Osborne Rd
Unit a
Saint Marys, GA 31558-9165
Phone (912) 576-9603

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2014.

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1275945131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 OSBORNE RD",
            "address_2": "UNIT A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589165",
            "telephone_number": "912-576-9603",
            "fax_number": "912-576-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OSBORNE RD",
            "address_2": "UNIT A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589165",
            "telephone_number": "912-576-9603",
            "fax_number": "912-576-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "ANITA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET001926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.