Active NPI
Debra Jordan-McCurdy, SLP-CCC
- Speech-Language Pathologist
- Duluth, GA
National Provider Identifier
1366003014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008193
- Practice address
- 2845 Summercrest LN
Duluth, GA 30096-2776 - Phone
- (478) 454-8889
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 | SLP008193 | GA | Primary |
Addresses
Primary practice location
2845 Summercrest LN
Duluth, GA 30096-2776
Mailing address
2845 Summercrest LN
Duluth, GA 30096-2776
Phone (478) 454-8889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J635-172-65-721-0 | Other | FL | DRIVERS LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | amneathawk@rogersbridgepediatrictherapy.com |
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 |
|---|---|---|---|
| SLP008193 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rogers Bridge Pediatric Therapy, LLC | 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.
-
- Hearing and Speech Clinic/Center
- Duluth, GA
- NPI 1053839456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1366003014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 SUMMERCREST LN",
"city": "DULUTH",
"state": "GA",
"postal_code": "300962776",
"telephone_number": "478-454-8889",
"fax_number": "678-280-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 SUMMERCREST LN",
"city": "DULUTH",
"state": "GA",
"postal_code": "300962776",
"telephone_number": "478-454-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN-MCCURDY",
"first_name": "DEBRA",
"credential": "SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "J635-172-65-721-0",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "amneathawk@rogersbridgepediatrictherapy.com",
"affiliation": "N",
"address_1": "2845 Summercrest Ln",
"city": "Duluth",
"state": "GA",
"country_code": "US",
"postal_code": "300962776",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.