Sabrina Music Smith, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008497 Issued in GA

Practice address

724 Smith Rd
Waycross, GA 31503-6643

Phone

(912) 288-1384

NPI assigned

May 12, 2020

Last updated

May 12, 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Speech Clinic LLCGroup PAC ID 2062567928, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Speech Clinic LLC

  • Speech-Language Pathologist
  • Waycross, GA
  • NPI 1952417909
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1316569304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 SMITH RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315036643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 SMITH RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315036643",
            "telephone_number": "912-288-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SABRINA",
        "middle_name": "MUSIC",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sabrinamsmith77@gmail.com",
            "affiliation": "N",
            "address_1": "724 Smith Rd",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315036643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda S Smith, PA
• Brenda Martin Smith
• James Matthew Smith Jr., DMD
• Keri Smith, MED, CCC-SLP
• Laura Smith, LMSW
• Steven Austin Smith, PHARMD
• Tara D Smith, APRN,FNP-C, PMHNP-BC
• South Georgia Endoscopy Center, Inc
• South Georgia Lung Specialists,PC
• South Georgia Physicians Group, LLC

• Speech-Language Pathologist in Waycross, GA
• Providers in Waycross, 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 May 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.