Organization Active NPI

Susan a Thurman

  • Speech-Language Pathologist
  • Broxton, GA
National Provider Identifier
1578069969
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP003751 Issued in GA
Legal business name
SUSAN A THURMAN
Practice address
185 Thurman Rd
Broxton, GA 31519-3713
Phone
(912) 383-2769
NPI assigned
Apr 4, 2018
Last updated
Apr 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Mrs. Susan A Thurman, MED. CCC-SLPNPI 1780124552
Title
Owner/Speech & Language Pathologist
Phone
(912) 383-2769

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP003751 GA Primary

Addresses

Primary practice location

185 Thurman Rd
Broxton, GA 31519-3713

Mailing address

185 Thurman Rd
Broxton, GA 31519-3713
Phone (912) 383-2769

Other identifiers 1

IdentifierTypeStateIssuer
003189187AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1578069969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 THURMAN RD",
            "city": "BROXTON",
            "state": "GA",
            "postal_code": "315193713",
            "telephone_number": "912-383-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 THURMAN RD",
            "city": "BROXTON",
            "state": "GA",
            "postal_code": "315193713",
            "telephone_number": "912-383-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN A THURMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/SPEECH & LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "912-383-2769",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003189187A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broxton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.