Individual provider Active NPI

Marcella Paige Meredith, MM,MS, CCC-SLP

  • Speech-Language Pathologist
  • Snellville, GA
National Provider Identifier
1467792135
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008511 Issued in GA
Practice address
2336 Wisteria Dr
Suite240
Snellville, GA 30078-6191
Phone
(770) 995-9600
Fax
(678) 922-7124
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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 SLP008511 GA Primary

Addresses

Primary practice location

2336 Wisteria Dr
Suite240
Snellville, GA 30078-6191

Mailing address

2336 Wisteria Dr
Suite 240
Snellville, GA 30078-6191
Phone (770) 995-9600

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 Science

State licenses

LicenseStateTypeSpecialty
SLP008511GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MPM Creative, LLC Speech-Language Pathologist Past Accepting new patients
Rightstart Therapy Service, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1467792135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "address_2": "SUITE 240",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "770-995-9600",
            "fax_number": "678-922-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "address_2": "SUITE240",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "770-995-9600",
            "fax_number": "678-922-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "MARCELLA",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "MM,MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.