Individual provider Active NPI

Randi Grantham Nguyen, MED SLP

  • Speech-Language Pathologist
  • Thomasville, GA
National Provider Identifier
1568713121
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007853 Issued in GA
Practice address
1102 Smith Ave Ste C
Thomasville, GA 31792-5700
Phone
(229) 227-1433
Fax
(229) 226-6353
NPI assigned
Sep 24, 2012
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 SLP007853 GA Primary

Addresses

Primary practice location

1102 Smith Ave Ste C
Thomasville, GA 31792-5700

Mailing address

224 Edgewood Dr
Thomasville, GA 31792-4509
Phone (229) 560-4051

Other practice location 1

423 Covington Ave
Thomasville, GA 31792-5264
Phone (229) 226-6074

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Step N Stones Speech Language Therapy Service Speech-Language Pathologist 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, 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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1568713121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 EDGEWOOD DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924509",
            "telephone_number": "229-560-4051",
            "fax_number": "229-226-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SMITH AVE STE C",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925700",
            "telephone_number": "229-227-1433",
            "fax_number": "229-226-6353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Covington Ave",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925264",
            "country_code": "US",
            "telephone_number": "229-226-6074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RANDI",
        "middle_name": "GRANTHAM",
        "credential": "MED SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.