Kittiya Chaiyachati

Key facts

NPI

1396508495

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SLP013769 (GA)

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

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Scoop Speech, LLC Speech-Language Pathologist · Norcross, GA · NPI 1558077677
  NPD SPEECH-LANGUAGE PATHOLOGIST
• North Paulding Speech Language Therapy LLC Hearing and Speech Clinic/Center · Cartersville, GA · NPI 1982592754
  NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2025.

{
    "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": []
}

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• Chen Chen, DDS
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All providers in Peachtree Corners, GA · Speech-Language Pathologist in Georgia