Samuel B. Elliott

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SLP001044 Issued in GA

Legal business name

SAMUEL B. ELLIOTT

Doing business as

Speech Services For Children

Practice address

434 Marietta St NW
Suite 104
Atlanta, GA 30313-1737

Phone

(404) 835-2781

Fax

(404) 835-2781

NPI assigned

Jan 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Samuel B Elliott, M.ED.,CCC-SLP

Title

Speech/Language Pathologist

Phone

(404) 835-2781

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Speech Services For Children Doing business as

Locations

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1639354962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MARIETTA ST NW",
            "address_2": "SUITE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131737",
            "telephone_number": "404-835-2781",
            "fax_number": "404-835-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MARIETTA ST NW",
            "address_2": "SUITE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131737",
            "telephone_number": "404-835-2781",
            "fax_number": "404-835-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL B. ELLIOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-06",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-835-2781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "SLP001044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA. LICENSE",
            "identifier": "SLP001044",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000697111J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Services For Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Octavis Sams
• Ralph Newton Sams, MD
• Shabnam Samsuddin, CRNA
• Radha Samtani, NP
• Samudra Psychological Services LLC
• Amanda Samuel
• Angela Maria Samuel, DNP
• Brittinae Samuel
• Helen R Samuel, RN
• Jaine Samuel

• Early Intervention Provider Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.