Active NPI
Ashley Carlton Burdette
- Speech-Language Pathologist
- Decatur, GA
National Provider Identifier
1376072090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP009666
- Practice address
- 2385 Lawrenceville Hwy Ste B
Decatur, GA 30033-3168 - Phone
- (404) 289-4270
- NPI assigned
- Jun 6, 2017
- 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 | SLP009666 | GA | Primary |
Addresses
Primary practice location
2385 Lawrenceville Hwy Ste B
Decatur, GA 30033-3168
Mailing address
810 Beaverdam Farm Rd
Canon, GA 30520-3915
Phone (706) 498-7993
Other practice location 1
3044 Due West Rd
Dallas, GA 30157-2125
Phone (770) 443-9672
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 |
|---|---|---|---|
| SLP009666 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream Catcher Pediatric Therapy Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Village Pathways Comprehensive Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Watkinsville, GA
- NPI 1366569543
-
- Speech-Language Pathologist
- Decatur, GA
- NPI 1730551219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1376072090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 BEAVERDAM FARM RD",
"city": "CANON",
"state": "GA",
"postal_code": "305203915",
"telephone_number": "706-498-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 LAWRENCEVILLE HWY STE B",
"city": "DECATUR",
"state": "GA",
"postal_code": "300333168",
"telephone_number": "404-289-4270"
}
],
"practiceLocations": [
{
"address_1": "3044 Due West Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301572125",
"country_code": "US",
"telephone_number": "770-443-9672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURDETTE",
"first_name": "ASHLEY",
"middle_name": "CARLTON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP009666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.