NPIMap

Organization Active NPI

Speech Hearing and Rehabilitation Enterprises of Coastal Georgia Inc.

  • Physical Therapist
  • Brunswick, GA
National Provider Identifier
1386708154
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008488 Issued in GA
Legal business name
SPEECH HEARING AND REHABILITATION ENTERPRISES OF COASTAL GEORGIA INC.
Practice address
2228 Starling St
Brunswick, GA 31520-4200
Phone
(912) 264-3141
Fax
(912) 264-6190
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Cheryl Meadows Ussery
Title
Executive Direcotr
Phone
(912) 264-3141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT008488 GA Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP001913 GA
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP002066 GA

Addresses

Primary practice location

2228 Starling St
Brunswick, GA 31520-4200

Mailing address

2228 Starling St
Brunswick, GA 31520-4200
Phone (912) 264-3141

National Provider Directory

National Provider Directory

Locations

2228 Starling St
Brunswick, GA 31520
Phone (912) 264-3141

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1386708154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 STARLING ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204200",
            "telephone_number": "912-264-3141",
            "fax_number": "912-264-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 STARLING ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204200",
            "telephone_number": "912-264-3141",
            "fax_number": "912-264-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH HEARING AND REHABILITATION ENTERPRISES OF COASTAL GEORGIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "MEADOWS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECOTR",
        "authorized_official_telephone_number": "912-264-3141"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008488",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001913",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP002066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.