Active NPI
Tamara Charest
- Speech-Language Pathologist
- Carrollton, GA
National Provider Identifier
1568520567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005278
- Practice address
- 121B Lee Street
Carrollton, GA 30117 - Phone
- (770) 830-8622
- Fax
- (770) 832-9031
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005278 | GA | Primary |
Addresses
Primary practice location
121B Lee Street
Carrollton, GA 30117
Mailing address
113 Oak Mountain Road
Carrollton, GA 30116
Phone (770) 838-1346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590077785A | Medicaid | GA |
Other names 1
- Tammy Charest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Partners of Wga | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Carrollton, GA
- NPI 1568697613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1568520567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 OAK MOUNTAIN ROAD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "30116",
"telephone_number": "770-838-1346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121B LEE STREET",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "30117",
"telephone_number": "770-830-8622",
"fax_number": "770-832-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAREST",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "590077785A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "CHAREST",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carrollton, GA
- Karen Deann Chafin, SLP
- Amanda Gayle Chambers, LPN
- Scarlett Elizabeth Chandler
- Lauren Chaney, HIS
- Eric Young Chang, M.D.
- Julie Lavaughn Charles, LCSW
- James Robert Charnitski, D.C.
- Kevin Michael Charron, MD
- Chatterbug Speech Therapy LLC
- CHC-Pine Knoll Nursing & Rehab Ctr, LLC (Pine Knoll Nursing & Rehabiliation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.