Individual provider Active NPI

Falon Collins, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1346622925
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP010665 Issued in GA
Practice address
1496 Woodfern Dr
Decatur, GA 30030-4531
Phone
(770) 268-0528
Fax
(706) 535-3457
NPI assigned
Jun 19, 2015
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP010665 GA Primary
Speech-Language Pathologist 235Z00000X 2202008378 VA

Addresses

Primary practice location

1496 Woodfern Dr
Decatur, GA 30030-4531

Mailing address

3189 Tennille Harrison Rd
Harrison, GA 31035-7533
Phone (770) 268-0528

Other practice location 1

385 Country Club Dr Ste D
Stockbridge, GA 30281-7434
Phone (770) 268-0528

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2202008378VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Let's Learn Inc Speech-Language Pathologist PastSince Feb 1, 2020 Accepting new patients
Mountain Region Speech and Hearing Center Speech-Language Pathologist PastSince Jul 19, 2013 Accepting new patients

Organizations & group practices 3

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1346622925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 TENNILLE HARRISON RD",
            "city": "HARRISON",
            "state": "GA",
            "postal_code": "310357533",
            "telephone_number": "770-268-0528",
            "fax_number": "706-535-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 WOODFERN DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304531",
            "telephone_number": "770-268-0528",
            "fax_number": "706-535-3457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Country Club Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817434",
            "country_code": "US",
            "telephone_number": "770-268-0528",
            "fax_number": "706-535-3457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "FALON",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010665",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.