Active NPI
Nneamaka Ifeadike
- Speech-Language Pathologist
- Cumming, GA
National Provider Identifier
1629947247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP013059
- Practice address
- 105 Pilgrim Village Dr Ste 200
Cumming, GA 30040-2583 - Phone
- (678) 395-3269
- NPI assigned
- Nov 3, 2025
- Sex
- Unspecified or another gender identity
- 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 | SLP013059 | GA | Primary |
Addresses
Primary practice location
105 Pilgrim Village Dr Ste 200
Cumming, GA 30040-2583
Mailing address
11130 Medlock Bridge Rd Apt 1110
Johns Creek, GA 30097-8502
Phone (404) 567-6214
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP013059 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1629947247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11130 MEDLOCK BRIDGE RD APT 1110",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300978502",
"telephone_number": "404-567-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PILGRIM VILLAGE DR STE 200",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402583",
"telephone_number": "678-395-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IFEADIKE",
"first_name": "NNEAMAKA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-11-03",
"last_updated": "2025-11-07",
"certification_date": "2025-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP013059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.