Individual provider Active NPI

Alexa Kelly

  • Speech-Language Pathologist
  • Duluth, GA
National Provider Identifier
1548805302
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4500 Satellite Blvd Ste 2250
Duluth, GA 30096-5047
Phone
(615) 491-6547
NPI assigned
Nov 15, 2019
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 NU Primary

Addresses

Primary practice location

4500 Satellite Blvd Ste 2250
Duluth, GA 30096-5047

Mailing address

2140 Buford Hwy Ste 109
Buford, GA 30518-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL, GA, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20231219001484 MD Practitioner - Qualified Speech Language Pathologist 3274983119 Reassigns benefits to 1 organization
I20231219003952 FL Practitioner - Qualified Speech Language Pathologist 3274983119 Reassigns benefits to 1 organization
I20231220001012 GA Practitioner - Qualified Speech Language Pathologist 3274983119 Reassigns benefits to 1 organization
I20231229000563 SC Practitioner - Qualified Speech Language Pathologist 3274983119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Professionals Medical Group, P.a. Speech-Language Pathologist CurrentSince Jul 13, 2025 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Dec 18, 2023 Accepting new patients
Let's Talk Therapy, LLC Speech-Language Pathologist PastSince Nov 17, 2019 Accepting new patients
Hona Medical Group of California PC Speech-Language Pathologist PastSince Jul 7, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

320 Lanier Ave W
Ste 200
Fayetteville, GA 30214
Phone (404) 850-0653

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1548805302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 BUFORD HWY STE 109",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305186121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2250",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965047",
            "telephone_number": "615-491-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ALEXA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.