NPIMap

Organization Active NPI

Bailey Speech and Language Services

  • Speech-Language Pathologist
  • Lawrenceville, GA
National Provider Identifier
1457427338
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP000710 Issued in GA
Legal business name
BAILEY SPEECH AND LANGUAGE SERVICES
Practice address
735 Longleaf Blvd
Suite a
Lawrenceville, GA 30045-8460
Phone
(770) 995-2378
Fax
(678) 377-9272
NPI assigned
Nov 24, 2006
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Ms. Beverly S. Bailey, M.S.NPI 1750456943
Title
Owner, Speech-Language Pathologist
Phone
(770) 995-2378

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 Pathologist 235Z00000X SLP000710 GA Primary

Addresses

Primary practice location

735 Longleaf Blvd
Suite a
Lawrenceville, GA 30045-8460

Mailing address

735 Longleaf Blvd
Suite a
Lawrenceville, GA 30045-8460
Phone (770) 995-2378

Other identifiers 1

IdentifierTypeStateIssuer
00584471BMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Bailey Speech and Language Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

735 Longleaf Blvd
Ste A
Lawrenceville, GA 30046
Phone (770) 995-2378

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1457427338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 LONGLEAF BLVD",
            "address_2": "SUITE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458460",
            "telephone_number": "770-995-2378",
            "fax_number": "678-377-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 LONGLEAF BLVD",
            "address_2": "SUITE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458460",
            "telephone_number": "770-995-2378",
            "fax_number": "678-377-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "770-995-2378",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP000710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00584471B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.