Chloe Edwards

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011507 Issued in GA

Practice address

3044 Due West Rd
Dallas, GA 30157-2125

Phone

(770) 443-9672

Fax

(770) 505-3595

NPI assigned

Sep 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mobility Physical Therapy

  • Rehabilitation Clinic/Center
  • Powder Springs, GA
  • NPI 1689817850

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1639729585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 DUE WEST RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572125",
            "telephone_number": "770-443-9672",
            "fax_number": "770-505-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 DUE WEST RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572125",
            "telephone_number": "770-443-9672",
            "fax_number": "770-505-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHLOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Clinic LLC
• Mary Jean East, M.D.
• Rita Owenaze Edosomwan
• April Edwards-Arnold
• Cassandra Edwards, MS, OTR/L
• Ehi Pharmacy Solutions, LLC.
• Jaydia Elie
• Elite Caregivers of Georgia, LLC
• Alisha Ellis, CSW
• Kimberly Elsberry

• Speech-Language Pathologist in Dallas, GA
• Providers in Dallas, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.