NPIMap

Organization Active NPI

Innovative Speech and Communications, LLC

  • Speech-Language Pathologist
  • Byron, GA
National Provider Identifier
1326639113
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
INNOVATIVE SPEECH AND COMMUNICATIONS, LLC
Doing business as
Innovative Speech and Communications, LLC
Practice address
406 Alachua St
Byron, GA 31008-3511
Phone
(803) 464-9824
Fax
(478) 333-3666
NPI assigned
Feb 3, 2021
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Dr. Priscessa CopelandNPI 1538301031
Title
Authorized Official/Speech Therapis
Phone
(803) 464-9824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

406 Alachua St
Byron, GA 31008-3511

Mailing address

406 Alachua St
Byron, GA 31008-3511
Phone (803) 464-9824

Other names 1

  • Innovative Speech and Communications, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1326639113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 ALACHUA ST",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083511",
            "telephone_number": "803-464-9824",
            "fax_number": "478-333-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 ALACHUA ST",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083511",
            "telephone_number": "803-464-9824",
            "fax_number": "478-333-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SPEECH AND COMMUNICATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "PRISCESSA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/SPEECH THERAPIS",
        "authorized_official_telephone_number": "803-464-9824",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Speech and Communications, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Innovative Speech and Communications, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Byron, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.