NPIMap

Organization Active NPI

Buckhead Speech Specialists, Inc.

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1477081487
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008991 Issued in GA
Legal business name
BUCKHEAD SPEECH SPECIALISTS, INC.
Practice address
300 W Wieuca Rd NE Ste 115
Atlanta, GA 30342-3352
Phone
(404) 808-5427
NPI assigned
Jun 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mrs. Kelsey Dalene, CCC-SLPNPI 1639545767
Title
Clinical Director
Phone
(404) 808-5427

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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP008991 GA Primary

Addresses

Primary practice location

300 W Wieuca Rd NE Ste 115
Atlanta, GA 30342-3352

Mailing address

300 W Wieuca Rd NE Ste 115
Atlanta, GA 30342-3352
Phone (404) 808-5427

National Provider Directory

National Provider Directory

Locations

300 W Wieuca Rd NE
Ste A200
Atlanta, GA 30342
Phone (404) 808-5427

300 W Wieuca Rd NE
Ste 115
Atlanta, GA 30342
Phone (404) 808-5427

300 W Wieuca Rd NE
Ste 200
Atlanta, GA 30342
Phone (404) 556-1070

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1477081487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE STE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-808-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WIEUCA RD NE STE 115",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423352",
            "telephone_number": "404-808-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD SPEECH SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-03",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "DALENE",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-808-5427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.