Speech and Dysphagia, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007869 Issued in GA

Legal business name

SPEECH AND DYSPHAGIA, LLC

Practice address

20 Berkeley Dr
Douglasville, GA 30134-4893

Phone

(404) 509-0620

NPI assigned

Dec 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Karen Deann Chafin, M.S., CCC-SLPNPI 1154629525

Title

Owner

Phone

(404) 509-0620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Karen Deann Chafin, SLP

  • Speech-Language Pathologist
  • Carrollton, GA
  • NPI 1154629525
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1366788499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BERKELEY DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344893",
            "telephone_number": "404-509-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BERKELEY DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344893",
            "telephone_number": "404-509-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND DYSPHAGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "CHAFIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-509-0620",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.