Active NPI
Sharon Cottle
- Speech-Language Pathologist
- Acworth, GA
National Provider Identifier
1417449281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004951
- Practice address
- 4900 Ivey Rd NW Ste 1720
Acworth, GA 30101-4101 - Phone
- (770) 917-5737
- NPI assigned
- Jun 6, 2018
- Last updated
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 004951 | GA | Primary |
Addresses
Primary practice location
4900 Ivey Rd NW Ste 1720
Acworth, GA 30101-4101
Mailing address
39 Heartwood Dr SW
Cartersville, GA 30120-7476
Phone (678) 467-3353
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 |
|---|---|---|---|
| 004951 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1417449281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 HEARTWOOD DR SW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207476",
"telephone_number": "678-467-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 IVEY RD NW STE 1720",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014101",
"telephone_number": "770-917-5737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTLE",
"first_name": "SHARON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "004951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.