Individual provider Active NPI

Tracy Nix, MS, CCC-SLP

  • Speech-Language Pathologist
  • Sugar Hill, GA
National Provider Identifier
1497257174
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0009031 Issued in GA
Practice address
4988 W Broad St Ste 205
Sugar Hill, GA 30518-4600
Phone
(770) 331-1446
Fax
(678) 866-6904
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 SLP0009031 GA Primary

Addresses

Primary practice location

4988 W Broad St Ste 205
Sugar Hill, GA 30518-4600

Mailing address

4988 W Broad St Ste 205
Sugar Hill, GA 30518-4600
Phone (770) 331-1446

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP0009031GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nix Therapy Services Inc Speech-Language Pathologist CurrentSince Aug 11, 2024 Accepting new patients
Tender Ones Therapy Services, Inc. Speech-Language Pathologist PastSince Mar 19, 2018 Accepting new patients

Locations

922 Gainesville Hwy
Ste 115
Buford, GA 30518
Phone (770) 696-6649

4988 W Broad St
Ste 205
Sugar Hill, GA 30518
Phone (770) 331-1446

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": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1497257174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 W BROAD ST STE 205",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305184600",
            "telephone_number": "770-331-1446",
            "fax_number": "678-866-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4988 W BROAD ST STE 205",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305184600",
            "telephone_number": "770-331-1446",
            "fax_number": "678-866-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "TRACY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP0009031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.