Alisa Parham Dennis, ALISA DENNIS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP003926 Issued in GA

Practice address

282 Lake Laurel Rd NE
Milledgeville, GA 31061-8443

Phone

(478) 453-0673

NPI assigned

May 21, 2012

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1588924963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 LAKE LAUREL RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618443",
            "telephone_number": "478-453-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 LAKE LAUREL RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618443",
            "telephone_number": "478-453-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "ALISA",
        "middle_name": "PARHAM",
        "name_prefix": "Mrs.",
        "credential": "ALISA DENNIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyanna Bresha Dawson
• Patricia Dedrick, ATC, LAT
• Raymond William Deen, DO
• Roy Wendell Deen, M.D.
• William Deferia, M.D.
• David Keith Dent, RPH
• Department of Behavioral Health and Developmental Disabilities
• Department of Behavioral Health and Developmental Disabilities
• Tarmesha Devereaux
• Dialysis Center of Milledgeville LLC

• Speech-Language Pathologist in Milledgeville, GA
• Providers in Milledgeville, 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 May 21, 2012; 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.