Mallery Fennell, M.S. ED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7 E Cherokee Ave
Cartersville, GA 30120-3302

Phone

(470) 423-9477

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1487262713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ROSEDALE DR",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E CHEROKEE AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203302",
            "telephone_number": "470-423-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Rosedale Dr",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301412710",
            "country_code": "US",
            "telephone_number": "770-598-4789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "MALLERY",
        "credential": "M.S. ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Denese Faulkner, LMSW
• Debbie Fearon
• Kalifa Fearon
• Karen J Fegely, FNP
• Martha Jo Felder, PA-C
• Chelsea Alannah Ferguson, FNP-C
• Amber Brooke Fernandez, MSW
• Gay Lyn Ferry, DC
• Elbert Payson Fields Jr., DC
• Jayson Welles Fields, MD

• Speech-Language Pathologist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.