Megan Elisar, M.A.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP11806 Issued in GA

Practice address

4550 Arkwright Rd
Macon, GA 31210-1302

Phone

(478) 477-0601

Fax

(478) 477-0133

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapy Specialists of Georgia

  • Speech-Language Pathologist
  • Macon, GA
  • NPI 1245682418
  NPD (past)

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1396409512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 ARKWRIGHT RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101302",
            "telephone_number": "478-477-0601",
            "fax_number": "478-477-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 ARKWRIGHT RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101302",
            "telephone_number": "478-477-0601",
            "fax_number": "478-477-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELISAR",
        "first_name": "MEGAN",
        "credential": "M.A.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP11806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wmartin@tsgaonline.com",
            "affiliation": "Y",
            "endpointDescription": "supervisor email",
            "affiliationName": "Therapy Specialists of Georgia",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4550 Arkwright Rd",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312101302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chidi William Ekeledo, DO
• Sydney Barnes Ekeledo, MD
• Joshua Seth Elder, RN
• Elegance Anesthesia
• Riuyinosa Elema
• Elite Ambulance Transportation
• Elite Apothecary Services, LLC (Primary Pediatrics Family Pharmacy)
• Elite Chariot Transportation Inc
• Elite Movement Specialists LLC
• Pamela Ellerbee, CRNA

• Speech-Language Pathologist in Macon, GA
• Providers in Macon, 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 Oct 25, 2021; 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.