Individual provider Active NPI

Edwinna Kolio-Hicks

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1467046680
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET003228 Issued in GA
Practice address
4153 Flat Shoals Parkway
BLDG C, Suite 300a
Decatur, GA 30034-4106
Phone
(404) 244-9477
Fax
(855) 207-3767
NPI assigned
Feb 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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 PCET003228 GA Primary

Addresses

Primary practice location

4153 Flat Shoals Parkway
BLDG C, Suite 300a
Decatur, GA 30034-4106

Mailing address

4315 Palisades Place Dr
Stonecrest, GA 30038-6146
Phone (404) 244-9477

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office.ssts@gmail.com

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
PCET003228GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Communication Group Speech-Language Pathologist CurrentSince Apr 11, 2021 Accepting new patients
Stepping Stones to Success, LLC Speech-Language Pathologist PastSince Mar 7, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1467046680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 PALISADES PLACE DR",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300386146",
            "telephone_number": "404-244-9477",
            "fax_number": "877-204-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PARKWAY",
            "address_2": "BLDG C, SUITE 300A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-244-9477",
            "fax_number": "855-207-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIO-HICKS",
        "first_name": "EDWINNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office.ssts@gmail.com",
            "affiliation": "N",
            "address_1": "4153 FLAT SHOALS PARKWAY",
            "address_2": "BLDG C, SUITE 300A",
            "city": "DECATUR",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300344106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.