NPIMap

Organization Active NPI

Persevere Adult and Pediatric Rehab., LLC

  • Speech-Language Pathologist
  • Perry, GA
National Provider Identifier
1427679364
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PERSEVERE ADULT AND PEDIATRIC REHAB., LLC
Practice address
304 Pawnee CT
Perry, GA 31069-2814
Phone
(478) 447-9591
Fax
(478) 224-0449
NPI assigned
May 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Natalie Keadle, MED.CCC/SLPNPI 1578627287
Title
Speech Language Pathologist
Phone
(478) 447-9591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

304 Pawnee CT
Perry, GA 31069-2814

Mailing address

304 Pawnee CT
Perry, GA 31069-2814
Phone (478) 447-9591

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1427679364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PAWNEE CT",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692814",
            "telephone_number": "478-447-9591",
            "fax_number": "478-224-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PAWNEE CT",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692814",
            "telephone_number": "478-447-9591",
            "fax_number": "478-224-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSEVERE ADULT AND PEDIATRIC REHAB., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "KEADLE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "478-447-9591",
        "authorized_official_credential": "MED.CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.