Samantha Brooke Nozick

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012835 Issued in GA

Practice address

1515 Johnson Ferry Rd
Marietta, GA 30062-6492

Phone

(770) 977-9457

NPI assigned

Nov 15, 2023

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

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.

• Greater Atlanta Speech & Language Clinics, Inc.

  • Speech-Language Pathologist
  • Marietta, GA
  • NPI 1033508528
  NPD (past)
• Greater Atlanta Speech & Language Clinics, Inc.

  • Occupational Therapist
  • Duluth, GA
  • NPI 1326262437

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1548035058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626492",
            "telephone_number": "770-977-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626492",
            "telephone_number": "770-977-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOZICK",
        "first_name": "SAMANTHA",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novalux Psychiatry PC
• Novo Psychotherapy, LLC
• Novoware Inc
• Caroline Nowak, RBT
• Jennifer Nowicki
• NPTC of GBCH&FM, Inc.
• NSH Cancer Institute Professional Services G LLC
• Fredrick Ntumy, M.D.
• Audrey Helene Nuccio, MD
• Halle Nuckles, DPT

• Speech-Language Pathologist in Marietta, GA
• Providers in Marietta, 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 Nov 15, 2023; 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.