Individual provider Active NPI

Janna S Wright, SLP

  • Speech-Language Pathologist
  • Waycross, GA
National Provider Identifier
1477666089
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006231 Issued in GA
Practice address
1415 Alice St
Waycross, GA 31501-4528
Phone
(912) 283-0777
Fax
(912) 283-7757
NPI assigned
Aug 16, 2006
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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 SLP006231 GA Primary

Addresses

Primary practice location

1415 Alice St
Waycross, GA 31501-4528

Mailing address

2735 Mikell Lake Rd
Patterson, GA 31557-2009
Phone (912) 647-2170

Other identifiers 1

IdentifierTypeStateIssuer
251849142DMedicaidGA

Other names 1

  • Janna S Griffis Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP006231GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech-Language Pathology Contractors, Inc. Speech-Language Pathologist Past Accepting new patients
Speech Clinic LLC Speech-Language Pathologist PastSince Jan 1, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1477666089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 MIKELL LAKE RD",
            "city": "PATTERSON",
            "state": "GA",
            "postal_code": "315572009",
            "telephone_number": "912-647-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ALICE ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014528",
            "telephone_number": "912-283-0777",
            "fax_number": "912-283-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JANNA",
        "middle_name": "S",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251849142D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANNA",
            "last_name": "GRIFFIS",
            "middle_name": "S",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.