Individual provider Active NPI

Elizabeth F McIntosh, M.ED.,CCC-SLP

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1346317096
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
379 Issued in GA
Practice address
1206 E 66TH St
Savannah, GA 31404-5704
Phone
(912) 355-4601
Fax
(912) 355-7935
NPI assigned
Nov 29, 2006
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 379 GA Primary

Addresses

Primary practice location

1206 E 66TH St
Savannah, GA 31404-5704

Mailing address

1206 E 66TH St
Savannah, GA 31404-5704
Phone (912) 355-4601

Other identifiers 3

IdentifierTypeStateIssuer
10052157OtherGAAMERIGROUP PROVIDER #
340955OtherGAWELLCARE PROVIDER #
000563648BMedicaidGA

Other names 1

  • Dr. Elizabeth F Larrimore Former name

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
379GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Speech and Hearing Center Inc Speech-Language Pathologist Current Accepting new patients
Savannah Speech and Hearing Center Speech-Language Pathologist Current Accepting new patients

Locations

1206 E 66th St
Savannah, GA 31404
Phone (912) 355-4601

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1346317096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045704",
            "telephone_number": "912-355-4601",
            "fax_number": "912-355-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045704",
            "telephone_number": "912-355-4601",
            "fax_number": "912-355-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ELIZABETH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.ED.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER #",
            "identifier": "10052157",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER #",
            "identifier": "340955",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000563648B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "LARRIMORE",
            "middle_name": "F",
            "prefix": "DR.",
            "credential": "M.ED., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.