Organization Active NPI

McGowentherapy Services, Inc.

  • Speech-Language Pathologist
  • Acworth, GA
National Provider Identifier
1366507576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4454 Issued in GA
Legal business name
MCGOWENTHERAPY SERVICES, INC.
Practice address
1471 Grist Mill Dr
Acworth, GA 30101-8623
Phone
(770) 639-6443
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laura McGowen, M.S., CCC-SLPNPI 1871656033
Title
Owner, Speech Language Pathologist
Phone
(770) 639-6443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 4454 GA Primary

Addresses

Primary practice location

1471 Grist Mill Dr
Acworth, GA 30101-8623

Mailing address

1471 Grist Mill Drive
Acworth, GA 30101-8623
Phone (770) 639-6443

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366507576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 GRIST MILL DRIVE",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018623",
            "telephone_number": "770-639-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 GRIST MILL DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018623",
            "telephone_number": "770-639-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGOWENTHERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGOWEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "770-639-6443",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.