Individual provider Active NPI

Brittany Palmer, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Kennesaw, GA
National Provider Identifier
1285872861
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1275 Shiloh Rd NW Ste 2330
Kennesaw, GA 30144-7183
Phone
(770) 548-1068
NPI assigned
Feb 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202007141 VA
Speech-Language Pathologist 235Z00000X SP.9543 OH
Speech-Language Pathologist 235Z00000X SLP000738 DC
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X GA Primary

Addresses

Primary practice location

1275 Shiloh Rd NW Ste 2330
Kennesaw, GA 30144-7183

Mailing address

1275 Shiloh Rd NW Ste 2330
Kennesaw, GA 30144-7183
Phone (770) 548-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604002093 GA Practitioner - Qualified Speech Language Pathologist 1658413737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1275 Shiloh Rd NW
Suite 2330
Kennesaw, GA 30144-7183
Phone (478) 561-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Engineering, Master of Education

State licenses

LicenseStateTypeSpecialty
SLP000738DCMDSpeech-Language Pathologist
2202007141VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Voice, Speech, and Swallowing Center of Georgia, LLC Single Specialty CurrentSince Feb 5, 2020 Accepting new patients
University Otolaryngologists Inc Single Specialty Past Accepting new patients

Locations

1275 Shiloh Rd NW
Ste 2330
Kennesaw, GA 30144
Phone (478) 561-1444

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.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1285872861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447183",
            "telephone_number": "770-548-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447183",
            "telephone_number": "770-548-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "BRITTANY",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007141",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.9543",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP000738",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.