Active NPI
Kevante Drew
- Speech-Language Pathologist
- Cumming, GA
National Provider Identifier
1376286476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3950 Towne Club Pkwy
Cumming, GA 30041-6030 - Phone
- (770) 844-7779
- NPI assigned
- Apr 16, 2022
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
3950 Towne Club Pkwy
Cumming, GA 30041-6030
Mailing address
28 Cedar Run Apt J
Sandy Springs, GA 30350-2416
Phone (706) 331-7253
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650067200000",
"number": "1376286476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CEDAR RUN APT J",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303502416",
"telephone_number": "706-331-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 TOWNE CLUB PKWY",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416030",
"telephone_number": "770-844-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "KEVANTE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-16",
"last_updated": "2022-04-16",
"certification_date": "2022-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.