Genelle McDonald Brown, MED. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004839 Issued in GA

Practice address

806 N Jefferson St
Dublin, GA 31021-6306

Phone

(478) 275-8844

Fax

(478) 275-2365

NPI assigned

Jan 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Therapy Unlimited, LLC

  • Speech-Language Pathologist
  • Dublin, GA
  • NPI 1386803450
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1376729285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8259",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310408259",
            "telephone_number": "478-275-8844",
            "fax_number": "478-275-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N JEFFERSON ST",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216306",
            "telephone_number": "478-275-8844",
            "fax_number": "478-275-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GENELLE",
        "middle_name": "MCDONALD",
        "credential": "MED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926164A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Joy Brown, LMSW
• Angela B Brown, LPN
• Anthony Morrell Brown
• Brandon Brown, DMD
• Felisha Brown, LCSW
• George Davey Brown, R.PH.
• Georgette Lacosta Brown, LCSW
• Jordan Brown, DMD
• Judy J. Brown, RN
• Pamela Denise Brown, APRN-CNP

• Speech-Language Pathologist in Dublin, GA
• Providers in Dublin, 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 Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.