Individual provider Active NPI

Brandy Mak, M.S.

  • Speech-Language Pathologist
  • Alpharetta, GA
National Provider Identifier
1639589054
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP013102 Issued in GA
Practice address
11560 Great Oaks Way Ste 300
Alpharetta, GA 30022-2453
Phone
(404) 474-0040
NPI assigned
May 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP013102 GA Primary

Addresses

Primary practice location

11560 Great Oaks Way Ste 300
Alpharetta, GA 30022-2453

Mailing address

11560 Great Oaks Way Ste 300
Alpharetta, GA 30022-2453
Phone (404) 474-0040

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 Science

State licenses

LicenseStateTypeSpecialty
SLP013102GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Easy With Brandy LLC Speech-Language Pathologist Current Accepting new patients
Elliston Pediatrics LLC Speech-Language Pathologist PastSince May 1, 2024 Accepting new patients
Atlanta Pediatric Therapy, Inc. Past Accepting new patients
Interfysio, LLC. Past Accepting new patients
Elliston LLC PastSince May 19, 2024 Accepting new patients
Therapyland LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1639589054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 GREAT OAKS WAY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222453",
            "telephone_number": "404-474-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 GREAT OAKS WAY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222453",
            "telephone_number": "404-474-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAK",
        "first_name": "BRANDY",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP013102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.