Active NPI
Matthew Meredith, M.A., M.S.
- Speech-Language Pathologist
- Ringgold, GA
National Provider Identifier
1457785396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8474
- Practice address
- 54 Battlefield Canopy Cir
Ringgold, GA 30736-5052 - Phone
- (706) 445-3655
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4942 | TN | |
| Speech-Language Pathologist | 235Z00000X | 8474 | GA | Primary |
Addresses
Primary practice location
54 Battlefield Canopy Cir
Ringgold, GA 30736-5052
Mailing address
512 Cottontail Holw
Flintstone, GA 30725-2781
Phone (423) 838-8828
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
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8474 | GA | MD | Speech-Language Pathologist |
| 4942 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Region Speech and Hearing Center | Speech-Language Pathologist | Past | Accepting new patients |
| Select Rehabilitation, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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
- Kingsport, TN
- NPI 1861427783
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1457785396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 COTTONTAIL HOLW",
"city": "FLINTSTONE",
"state": "GA",
"postal_code": "307252781",
"telephone_number": "423-838-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 BATTLEFIELD CANOPY CIR",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "307365052",
"telephone_number": "706-445-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "M.A., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "4942",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "8474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.