Active NPI
Naturalistic Speech & Language
- Speech-Language Pathologist
- Cartersville, GA
National Provider Identifier
1366949372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP009549
- Legal business name
- NATURALISTIC SPEECH & LANGUAGE
- Practice address
- 108 Forrest Ave
Cartersville, GA 30120-3614 - Phone
- (770) 926-2884
- NPI assigned
- Apr 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank Thomas White Jr., CCC-M.ED.
- Title
- Speech-Language Pathologist
- Phone
- (470) 331-3039
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP009549 | GA | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP004436 | GA |
Addresses
Primary practice location
108 Forrest Ave
Cartersville, GA 30120-3614
Mailing address
108 Forrest Ave
Cartersville, GA 30120-3614
Phone (770) 926-2884
Other practice location 1
1277 Parker Rd SE
Conyers, GA 30094-5957
Phone (770) 926-2884
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003183029B | Medicaid | GA | |
| 000878457B | Medicaid | GA | |
| 003183029A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Cartersville, GA
- NPI 1811449549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523059200000",
"number": "1366949372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FORREST AVE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203614",
"telephone_number": "770-926-2884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 FORREST AVE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203614",
"telephone_number": "770-926-2884"
}
],
"practiceLocations": [
{
"address_1": "1277 Parker Rd SE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300945957",
"country_code": "US",
"telephone_number": "770-926-2884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATURALISTIC SPEECH & LANGUAGE",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-07",
"last_updated": "2018-04-07",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "470-331-3039",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "CCC-M.ED."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP009549",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004436",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003183029B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000878457B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003183029A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.