Active NPI
Leah Deborah Bryant, MA, CCC-SLP
- Speech-Language Pathologist
- Auburn, GA
National Provider Identifier
1639304694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7847
- Practice address
- 3556 Bridle Brook Dr
Auburn, GA 30011-2381 - Phone
- (470) 636-0710
- NPI assigned
- May 20, 2009
- Last updated
- Apr 3, 2019
- Sex
- Female
- 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 | 7847 | NC | Primary |
Addresses
Primary practice location
3556 Bridle Brook Dr
Auburn, GA 30011-2381
Mailing address
545 Old Norcross Road
Suite # 200
Lawrenceville, GA 30046
Phone (678) 377-2833
Other practice location 1
4754 Lanstone Court
Concord, NC 28027
Phone (704) 576-1340
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7847 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Pediatric Speech Therapy Services LLC | 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.
-
- Speech-Language Pathologist
- Dacula, GA
- NPI 1578025953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1639304694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 OLD NORCROSS ROAD",
"address_2": "SUITE # 200",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "678-377-2833",
"fax_number": "678-377-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3556 BRIDLE BROOK DR",
"city": "AUBURN",
"state": "GA",
"postal_code": "300112381",
"telephone_number": "470-636-0710"
}
],
"practiceLocations": [
{
"address_1": "4754 Lanstone Court",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "28027",
"country_code": "US",
"telephone_number": "704-576-1340",
"fax_number": "704-960-4051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYANT",
"first_name": "LEAH",
"middle_name": "DEBORAH",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.