Individual provider Active NPI

Gaye Michelle Stewarttooson, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Marietta, GA
National Provider Identifier
1477606952
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003950 Issued in VA
Practice address
2773 Wyndcliff Way
Marietta, GA 30066-3679
Phone
(703) 309-1107
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 2202003950 VA Primary

Addresses

Primary practice location

2773 Wyndcliff Way
Marietta, GA 30066-3679

Mailing address

2773 Wyndcliff Way
Marietta, GA 30066-3679
Phone (703) 309-1107

Other identifiers 2

IdentifierTypeStateIssuer
187839OtherVABLUE CROSS BLUE SHIELD
4978277MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624000602 GA Practitioner - Qualified Speech Language Pathologist 7517368822 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2202003950VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group Inc. CurrentSince Feb 14, 2022 Accepting new patients
Paxxon Healthcare Services LLC CurrentSince Feb 14, 2022 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Speech-Language Pathologist CurrentSince Jun 21, 2021 Accepting new patients
The Weston Group Inc. Speech-Language Pathologist CurrentSince Feb 14, 2022 Accepting new patients
Paxxon Healthcare Services LLC Speech-Language Pathologist CurrentSince Feb 14, 2022 Accepting new patients
Milton Speech Pathology, LLC Speech-Language Pathologist Past Accepting new patients
Achieve Pediatric Therapy Ga LLC Speech-Language Pathologist Past Accepting new patients

Locations

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 7

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1477606952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2773 WYNDCLIFF WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663679",
            "telephone_number": "703-309-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2773 WYNDCLIFF WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663679",
            "telephone_number": "703-309-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARTTOOSON",
        "first_name": "GAYE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "187839",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4978277",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.