Greta Fishback, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008665 Issued in GA

Practice address

115 Academy St Ste 102
Canton, GA 30114-3008

Phone

(404) 444-1521

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Greta Abbott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Simplicity Therapy Group Inc

  dba Simplicity Pediatric Therapy

  • Speech-Language Pathologist
  • Canton, GA
  • NPI 1134749336
  NPD
• Talk Speech & Language Therapy, LLC

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1366950388
  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1457949422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008",
            "telephone_number": "404-444-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008",
            "telephone_number": "404-444-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBACK",
        "first_name": "GRETA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "ABBOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virgil Figueroa, CNP
• Finding Freedom Now
• Kimberly Finley, PHARMD
• Marjorie Firebaugh, LCSW
• Susan A. Fischels, ARNP
• Lynn J Fisher, CNM
• Ryan Hudson Fitzgerald, DPM
• Andrea Fjeldahl-Howard, D.C.
• Colin Flanagan, PS-S
• Jason Fleury, PA

• Speech-Language Pathologist in Canton, GA
• Providers in Canton, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.