Active NPI
Mary Lindsay Connor, M.ED., CCC-SLP
- Speech-Language Pathologist
- Savannah, GA
National Provider Identifier
1376667832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5423
- Practice address
- 208 Schooner Dr
Savannah, GA 31410-3418 - Phone
- (912) 484-6939
- NPI assigned
- Mar 19, 2007
- Last updated
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 5423 | GA | Primary |
Addresses
Primary practice location
208 Schooner Dr
Savannah, GA 31410-3418
Mailing address
208 Schooner Dr
Savannah, GA 31410-3418
Phone (912) 484-6939
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000977039C | Medicaid | GA |
Other names 1
- Lindsay Connor
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5423 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay Edwards Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1376667832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 SCHOONER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103418",
"telephone_number": "912-484-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 SCHOONER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103418",
"telephone_number": "912-484-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "MARY",
"middle_name": "LINDSAY",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "5423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000977039C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "CONNOR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.