Lesley Childs, MS.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005811 Issued in GA

Practice address

304 E 6TH Ave
Rome, GA 30161-6000

Phone

(706) 378-9044

Fax

(706) 378-9046

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Infinity Children'S Services, Inc.

  • Speech-Language Pathologist
  • Rome, GA
  • NPI 1558412775
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518018332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S SUNFLOWER PLACE ROAD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "30165",
            "telephone_number": "706-378-9044",
            "fax_number": "706-378-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 6TH AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616000",
            "telephone_number": "706-378-9044",
            "fax_number": "706-378-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "LESLEY",
        "credential": "MS.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340925",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10047157",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "52145166",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Danielle Chester, NURSE PRACTITIONER
• Donna Faye Childers, FNP
• Janet Mytrice Childre, RD
• Children'S Dental Center, PC
• Children'S Dentistry of Rome, LLC
• Hamid Reza Chimeh, M.D.
• Chiropractic Center of Rome PC
• Chiropractic Solutions of Georgia, LLC
• Shrinal Chokshi, MD
• Derek Walther Christensen, PA-C

• Speech-Language Pathologist in Rome, GA
• Providers in Rome, 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 Jul 9, 2007; 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.