Individual provider Active NPI

Brielyn Smith, CF-SLP

  • Speech-Language Pathologist
  • Savannah, GA
National Provider Identifier
1427735562
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET003866 Issued in GA
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

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PCET003866GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Clinic of the Coastal Empire LLC Speech-Language Pathologist PastSince Jul 13, 2023 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.

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.

Verify at the official NPI Registry.