Individual provider Active NPI

Elizabeth D Nechmad, MS, CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1497985543
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005716 Issued in GA
Practice address
1513 Thornhill CT
Atlanta, GA 30338-4226
Phone
(678) 923-2607
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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 SLP005716 GA Primary

Addresses

Primary practice location

1513 Thornhill CT
Atlanta, GA 30338-4226

Mailing address

1513 Thornhill CT
Atlanta, GA 30338-4226
Phone (678) 923-2607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020001322 GA Practitioner - Qualified Speech Language Pathologist 8426446618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Vanderbilt University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Therapy and Wellness, LLCGroup PAC ID 0244366763, 5 clinicians

Practice addresses (Care Compare)

5881 Glenridge Dr
Suite 170
Atlanta, GA 30328-5389
Phone (404) 236-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Wellness, LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

5881 Glenridge Dr
Ste 170
Sandy Springs, GA 30328
Phone (404) 236-0934

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1497985543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 THORNHILL CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384226",
            "telephone_number": "678-923-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 THORNHILL CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384226",
            "telephone_number": "678-923-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NECHMAD",
        "first_name": "ELIZABETH",
        "middle_name": "D",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.