Markita Regina Gardner, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012970 Issued in GA

Practice address

2387 Huntcrest Way
Lawrenceville, GA 30043-8126

Phone

(678) 710-2324

NPI assigned

Apr 9, 2024

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

Other names 1

• Markita R Hill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Children'S 1St Rehabilitation Center, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Stockbridge, GA
  • NPI 1265046346
  NPD (past)
• JMJ Speech & Language Solutions

  • Speech-Language Pathologist
  • Lawrenceville, GA
  • NPI 1730595356
  NPD (past)

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1497508592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 BOGGS RD APT 218",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962385",
            "telephone_number": "202-680-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 HUNTCREST WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438126",
            "telephone_number": "678-710-2324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Collins Industrial Way",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300435450",
            "country_code": "US",
            "telephone_number": "678-442-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 S Perry St",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464837",
            "country_code": "US",
            "telephone_number": "678-278-9244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARKITA",
        "middle_name": "REGINA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARKITA",
            "last_name": "HILL",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Garden Hills Community Living LLC
• Audra Gardenhi
• Marcell Darrell Gardner Spates, LPC
• Chevelle Gardner
• Jess A Gardner, DMD, MD
• John Gargus, MD
• Lauren Ashley Garmon, C.P.N.P.
• Janayvia Garner
• Patrick Zackery Garner II
• Belinda Mavis Garrett-Ibe, MASSAGE THERAPIST

• Speech-Language Pathologist in Lawrenceville, GA
• Providers in Lawrenceville, 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 Apr 10, 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.