Active NPI
Brielyn Smith, CF-SLP
- Speech-Language Pathologist
- Savannah, GA
National Provider Identifier
1427735562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PCET003866
- Practice address
- 130 Stephenson Ave Ste 102
Savannah, GA 31405-5899 - Phone
- (912) 712-3999
- Fax
- (912) 438-6907
- NPI assigned
- Jun 30, 2023
- 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 | PCET003866 | GA | Primary |
Addresses
Primary practice location
130 Stephenson Ave Ste 102
Savannah, GA 31405-5899
Mailing address
130 Stephenson Ave Ste 102
Savannah, GA 31405-5899
Phone (912) 712-3999
Other practice location 1
315 Johnny Mercer Blvd Ste D
Savannah, GA 31410-2223
Phone (912) 712-3999
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 |
|---|---|---|---|
| PCET003866 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Clinic of the Coastal Empire LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Savannah, GA
- NPI 1396120150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1427735562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 STEPHENSON AVE STE 102",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055899",
"telephone_number": "912-712-3999",
"fax_number": "912-438-6907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 STEPHENSON AVE STE 102",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055899",
"telephone_number": "912-712-3999",
"fax_number": "912-438-6907"
}
],
"practiceLocations": [
{
"address_1": "315 Johnny Mercer Blvd Ste D",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314102223",
"country_code": "US",
"telephone_number": "912-712-3999",
"fax_number": "912-438-6907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRIELYN",
"credential": "CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET003866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.