Samantha T Amtmann

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012597 Issued in GA

Practice address

175 Carnegie PL Ste 137
Fayetteville, GA 30214-7903

Phone

(770) 719-8840

NPI assigned

Jun 26, 2023

Last updated

Jun 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

• Verbal Concepts

  • Speech-Language Pathologist
  • Fayetteville, GA
  • NPI 1548651748
  NPD (past)
• My Child's Therapy, Inc

  dba My Child's Therapy

  • Speech-Language Pathologist
  • Feasterville Trevose, PA
  • NPI 1518524420
  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1407532112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 LULLWATER CIR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CARNEGIE PL STE 137",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147903",
            "telephone_number": "770-719-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMTMANN",
        "first_name": "SAMANTHA",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Health Imaging of Georgia LLC (American Health Imaging of Fayetteville LLC)
• Uwa Kalu Amoji, NP
• Amor Home Care LLC
• Karen Denise Amos, APRN
• Oyeyemi Kikelomo Amosu, M.D.
• Young H An, M.D.
• Eucharia Nkechi Anachebe, PT
• Dianna Marie Anderson
• Emma Day Anderson
• Kyra Anderson

• Speech-Language Pathologist in Fayetteville, GA
• Providers in Fayetteville, 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 Jun 26, 2023; 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.