Active NPI
Amy Rowan, MA CCC-SLP
- Speech-Language Pathologist
- Roswell, GA
National Provider Identifier
1497475735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011037
- Practice address
- 1475 Holcomb Bridge Rd Ste 113
Roswell, GA 30076-2126 - Phone
- (678) 591-3542
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP011037 | GA | Primary |
Addresses
Primary practice location
1475 Holcomb Bridge Rd Ste 113
Roswell, GA 30076-2126
Mailing address
16705 Quayside Dr
Milton, GA 30004-8107
Phone (704) 745-8997
Other names 1
- Amy Davis
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP011037 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darling Pediatric Therapies | Past | Accepting new patients | |
| Cobblestone Pathways, LLC | Speech-Language Pathologist | Past | 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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Roswell, GA
- NPI 1528171535
-
- Multi-Specialty Clinic/Center
- Roswell, GA
- NPI 1578799763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1497475735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16705 QUAYSIDE DR",
"city": "MILTON",
"state": "GA",
"postal_code": "300048107",
"telephone_number": "704-745-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 HOLCOMB BRIDGE RD STE 113",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762126",
"telephone_number": "678-591-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWAN",
"first_name": "AMY",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "DAVIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.