Active NPI
Joyce Marie Chaney, CCC-SLP
- Speech-Language Pathologist
- Lithonia, GA
National Provider Identifier
1356438089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 000983
- Practice address
- 6058 Shadow Lake Way
Lithonia, GA 30058-3160 - Phone
- (404) 754-7351
- Fax
- (770) 413-0507
- NPI assigned
- Oct 6, 2006
- 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 | 000983 | GA | Primary |
Addresses
Primary practice location
6058 Shadow Lake Way
Lithonia, GA 30058-3160
Mailing address
6058 Shadow Lake Way
Lithonia, GA 30058-3160
Phone (404) 754-7351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000792844E | 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 |
|---|---|---|---|
| 000983 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chaney Communication Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Lithonia, GA
- NPI 1295131266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1356438089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6058 SHADOW LAKE WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300583160",
"telephone_number": "404-754-7351",
"fax_number": "770-413-0507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6058 SHADOW LAKE WAY",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300583160",
"telephone_number": "404-754-7351",
"fax_number": "770-413-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "JOYCE",
"middle_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "000983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000792844E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.