Active NPI
Kerry-Lea Krog, SPX PATHOLOGIST
- Speech-Language Pathologist
- Alpharetta, GA
National Provider Identifier
1285758391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006600
- Practice address
- 4080 McGinnis Ferry Rd
BLDG 300 Ste302
Alpharetta, GA 30005-3948 - Phone
- (678) 992-1935
- Fax
- (770) 889-5584
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP006600 | GA | Primary |
Addresses
Primary practice location
4080 McGinnis Ferry Rd
BLDG 300 Ste302
Alpharetta, GA 30005-3948
Mailing address
4080 McGinnis Ferry Rd
BLDG 300 Ste302
Alpharetta, GA 30005-3948
Phone (678) 992-1935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP006600 | Other | GA | GEORGIA STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006600 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285758391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 MCGINNIS FERRY RD",
"address_2": "BLDG 300 STE302",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053948",
"telephone_number": "678-992-1935",
"fax_number": "770-889-5584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 MCGINNIS FERRY RD",
"address_2": "BLDG 300 STE302",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053948",
"telephone_number": "678-992-1935",
"fax_number": "770-889-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROG",
"first_name": "KERRY-LEA",
"credential": "SPX PATHOLOGIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE LICENSE",
"identifier": "SLP006600",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.