NPIMap

Organization Active NPI

Meredith White Speech Pathology Inc

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1508254202
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP004739 Issued in GA
Legal business name
MEREDITH WHITE SPEECH PATHOLOGY INC
Practice address
1777 Northeast Expy NE
Ste 120
Atlanta, GA 30329-2480
Phone
(404) 228-8558
Fax
(404) 228-8659
NPI assigned
Jan 3, 2015
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Elizabeth Alvarez-Rowden
Title
Office Manager
Phone
(404) 228-8558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP004739 GA Primary

Addresses

Primary practice location

1777 Northeast Expy NE
Ste 120
Atlanta, GA 30329-2480

Mailing address

1777 Northeast Expy NE
Ste 120
Atlanta, GA 30329-2480
Phone (404) 228-8558

Other identifiers 1

IdentifierTypeStateIssuer
000860604DMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Meredith White Speech Pathology Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1508254202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NORTHEAST EXPY NE",
            "address_2": "STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292480",
            "telephone_number": "404-228-8558",
            "fax_number": "404-228-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NORTHEAST EXPY NE",
            "address_2": "STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292480",
            "telephone_number": "404-228-8558",
            "fax_number": "404-228-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH WHITE SPEECH PATHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-03",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ-ROWDEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-228-8558"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000860604D",
            "state": "GA"
        }
    ],
    "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 Dec 10, 2018; 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.