Active NPI
Lynley Ray
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1326323460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005075
- Practice address
- 550 Twin Springs Rd NW
Atlanta, GA 30327-3557 - Phone
- (404) 840-8156
- Fax
- (404) 842-0109
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP005075 | GA | Primary |
Addresses
Primary practice location
550 Twin Springs Rd NW
Atlanta, GA 30327-3557
Mailing address
550 Twin Springs Rd NW
Atlanta, GA 30327-3557
Phone (404) 840-8156
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000921852A | Medicaid | GA |
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 |
|---|---|---|---|
| SLP005075 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1326323460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 TWIN SPRINGS RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303273557",
"telephone_number": "404-840-8156",
"fax_number": "404-842-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 TWIN SPRINGS RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303273557",
"telephone_number": "404-840-8156",
"fax_number": "404-842-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "LYNLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000921852A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.