NPIMap

Organization Active NPI

The Speech Path LLC

  • Speech-Language Pathologist
  • Macon, GA
National Provider Identifier
1477950533
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005641 Issued in GA
Legal business name
THE SPEECH PATH LLC
Practice address
4116 Arkwright Rd
Macon, GA 31210-1707
Phone
(478) 477-0601
Fax
(973) 965-4580
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Kate Lewis
Title
Co-Owner
Phone
(478) 987-1610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SLP005641 GA Primary

Addresses

Primary practice location

4116 Arkwright Rd
Macon, GA 31210-1707

Mailing address

225 Wes Park Dr
Perry, GA 31069-4829
Phone (478) 987-1610

National Provider Directory

National Provider Directory
Tax ID family
The Speech Path LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1477950533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WES PARK DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694829",
            "telephone_number": "478-987-1610",
            "fax_number": "973-965-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 ARKWRIGHT RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101707",
            "telephone_number": "478-477-0601",
            "fax_number": "973-965-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "478-987-1610"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.