Pelesia A Fields, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010465 Issued in GA

Practice address

125 Lee Byrd Rd
Loganville, GA 30052-2310

Phone

(914) 924-3768

NPI assigned

Nov 24, 2008

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Awino Speaks LLC

  • Hearing and Speech Clinic/Center
  • Loganville, GA
  • NPI 1801402011
  NPD Authorized official

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1316192883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 AMUR CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LEE BYRD RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522310",
            "telephone_number": "914-924-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "PELESIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "010465",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Feroz Faiz, PTA
• Father's Love Medical Center
• Kyle E Fenton, PT, DPT
• Belinda English Few, SPEECH LANGUAGE PATH
• David Albert Fields, MD
• Fillmore Dialysis, LLC (Grayson Dialysis)
• Patricia S Finkenhoefer, NP
• Francisco Thor Fiol, PA-C
• Flamingo Nursing Services Inc (Flamingo Nursing Services)
• Leland Seth Fleming, ATC

• Speech-Language Pathologist in Loganville, GA
• Providers in Loganville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.