Jennifer Brown, MCD-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009253 Issued in GA

Practice address

4530 Nelson Brogdon Blvd Ste C
Buford, GA 30518-5407

Phone

(678) 820-9606

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Motor Mouth Therapy, LLC

  • Speech-Language Pathologist
  • Buford, GA
  • NPI 1316372659
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275981995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NEWBRIDGE CIR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195385",
            "fax_number": "844-820-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 NELSON BROGDON BLVD STE C",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185407",
            "telephone_number": "678-820-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Buford Hwy",
            "address_2": "Suite G-5",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305188721",
            "country_code": "US",
            "telephone_number": "678-820-9606",
            "fax_number": "844-820-9616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "credential": "MCD-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Briscoe
• Andrew Brock, DPT
• Kendall Mark Broome, CRNA
• Alla V Brown, D.M.D
• Angela D Brown
• Lisa Leilani Brown, APC
• Miranda Ivey Brown, PHARM.D
• Tiffaney S Brown
• Jennifer N Brunetti, DDS
• Brenda Brunston

• All providers in Buford, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.