Samantha Christine McCravy Bryant, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18072 Issued in FL

Practice address

1268 Edgewood Ave S
Jacksonville, FL 32205-7744

Phone

(904) 575-0643

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Christine McCravy Bryant Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Empowered Voice Rehabilitation LLCGroup PAC ID 7810375441, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Empowered Voice Rehabilitation LLC

  • Hearing and Speech Clinic/Center
  • Jacksonville, FL
  • NPI 1790420198
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1306448535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057744",
            "telephone_number": "904-575-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322057744",
            "telephone_number": "904-575-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAVY BRYANT",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "18072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BRYANT",
            "middle_name": "CHRISTINE MCCRAVY",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Wynette McCrackin, APRN
• Randeesha Renee McCrae
• Peter Adams McCranie, M.D.
• Aaliyah De'Jon McCrary
• Melissa McCrary, PA
• Laurier Lynn McCravy, DMD
• Lashawnte Zakiek McCraw Sr., NMT
• McCray Medical Care
• McCray Medical Care
• Kizzy Michelle McCray-Sheppard

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.