Active NPI
Speech Blossoms LLC
- Speech-Language Pathologist
- Stockbridge, GA
National Provider Identifier
1629738745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH BLOSSOMS LLC
- Practice address
- 3384 Mount Zion Rd Apt 6105
Stockbridge, GA 30281-7878 - Phone
- (803) 747-5305
- NPI assigned
- Dec 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Alvree Shanon Boyd, MA, SLP-CCC
- Title
- Owner
- Phone
- (803) 747-5305
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3384 Mount Zion Rd Apt 6105
Stockbridge, GA 30281-7878
Mailing address
3384 Mount Zion Rd Apt 6105
Stockbridge, GA 30281-7878
Phone (803) 747-5305
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640822400000",
"number": "1629738745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3384 MOUNT ZION RD APT 6105",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817878",
"telephone_number": "803-747-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3384 MOUNT ZION RD APT 6105",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817878",
"telephone_number": "803-747-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH BLOSSOMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-30",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "ALVREE",
"authorized_official_middle_name": "SHANON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-747-5305",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, SLP-CCC"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Southside Medical Center, Inc (Southside Medical Center -Stockbridge)
- Southside Pediatrics
- Southside Psychiatric Associates, P.C.
- Southside Psychiatric Associates, P.C.
- Southside Surgical Assistants, LLC
- Emelda Louise Speeks
- Hyacinth D. Spence, CRNA
- Jason Spiegler, M.D.
- Spine Center Atlanta South, LLC
- Asia M Spinks
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.