Individual provider Active NPI

Debra Jordan-McCurdy, SLP-CCC

  • Speech-Language Pathologist
  • Duluth, GA
National Provider Identifier
1366003014
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008193 Issued in GA
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

Updated by the provider on Jun 24, 2019

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 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

IdentifierTypeStateIssuer
J635-172-65-721-0OtherFLDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
SLP008193GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Bridge Pediatric Therapy, LLC PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.