Active NPI
Kittiya Chaiyachati
- Speech-Language Pathologist
- Peachtree Corners, GA
National Provider Identifier
1396508495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP013769
- Practice address
- 3295 River Exchange Dr Ste 170
Peachtree Corners, GA 30092-4220 - Phone
- (404) 500-8264
- Fax
- (470) 408-2473
- NPI assigned
- Feb 1, 2024
- Last updated
- Sep 9, 2025
- Sex
- Female
- 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 | SLP013769 | GA | Primary |
Addresses
Primary practice location
3295 River Exchange Dr Ste 170
Peachtree Corners, GA 30092-4220
Mailing address
4219 Allenhurst Dr
Peachtree Corners, GA 30092-2014
Phone (678) 879-3125
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP013769 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scoop Speech, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| North Paulding Speech Language Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
3295 River Exchange Dr
Ste 170
Peachtree Corners, GA 30092
Phone (404) 500-8264
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Norcross, GA
- NPI 1558077677
-
- Hearing and Speech Clinic/Center
- Cartersville, GA
- NPI 1982592754
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1396508495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 ALLENHURST DR",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922014",
"telephone_number": "678-879-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 RIVER EXCHANGE DR STE 170",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300924220",
"telephone_number": "404-500-8264",
"fax_number": "470-408-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAIYACHATI",
"first_name": "KITTIYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-01",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP013769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
- Center for Pan Asian Community Services, Inc. (CPACS@Dekalb)
- Center for Pan Asian Community Services, Inc. (CPACS @ Cosmo Building B)
- Center for Pan Asian Community Services, Inc. (CPACS COsmo Dental)
- Center for Restorative Reproductive Surgery, LLC
- Ritu Chadha, M.D.
- Jennie Chambliss, OTR/L, OTM
- Otis Chandler, LCSW
- Chen Chen, DDS
- Lisa Chen, OD
- Children's Eye Care and Surgery of Georgia PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.