Active NPI
Deborah L Taylor, M.A., CCC-SLP
- Speech-Language Pathologist
- Sharpsburg, GA
National Provider Identifier
1487618864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008528
- Practice address
- 45 Indian Creek TRL
Sharpsburg, GA 30277-1909 - Phone
- (863) 513-8223
- NPI assigned
- Apr 13, 2006
- Last updated
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3228 | AL | |
| Speech-Language Pathologist | 235Z00000X | SA4742 | FL | |
| Speech-Language Pathologist | 235Z00000X | SLP008528 | GA | Primary |
Addresses
Primary practice location
45 Indian Creek TRL
Sharpsburg, GA 30277-1909
Mailing address
45 Indian Creek TRL
Sharpsburg, GA 30277-1909
Phone (863) 513-8223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8874131-00 | Medicaid | FL |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3228 | AL | MD | Mental Health Counselor |
| SLP008528 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progress Listening & Learning Center LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Ashford, AL
- NPI 1992085658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1487618864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 INDIAN CREEK TRL",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302771909",
"telephone_number": "863-513-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 INDIAN CREEK TRL",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302771909",
"telephone_number": "863-513-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "DEBORAH",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "3228",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA4742",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8874131-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sharpsburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.