Active NPI
Kids Making Connections, LLC
- Speech-Language Pathologist
- Fayetteville, GA
National Provider Identifier
1346956117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KIDS MAKING CONNECTIONS, LLC
- Practice address
- 320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443 - Phone
- (470) 945-3761
- NPI assigned
- Jan 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenya Clayton
- Title
- Owner
- Phone
- (470) 945-3761
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
320 Lanier Ave W Ste 200
Fayetteville, GA 30214-7443
Mailing address
PO Box 436
Palmetto, GA 30268-0436
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Fayetteville, GA
- NPI 1780267062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674604800000",
"number": "1346956117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 436",
"city": "PALMETTO",
"state": "GA",
"postal_code": "302680436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 LANIER AVE W STE 200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147443",
"telephone_number": "470-945-3761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS MAKING CONNECTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-25",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "CLAYTON",
"authorized_official_first_name": "KENYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-945-3761"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.