The Cocoon

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

THE COCOON

Practice address

780 Winding Grove LN
Loganville, GA 30052-7014

Phone

(631) 258-9396

NPI assigned

Apr 11, 2023

Last updated

Apr 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany Peddlar, MS, CCC-SLPNPI 1467818096

Title

Speech-Language Pathologist

Phone

(631) 258-9396

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittany Peddlar

  • Speech-Language Pathologist
  • Loganville, GA
  • NPI 1467818096
  NPD Authorized official

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1639864044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 WINDING GROVE LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527014",
            "telephone_number": "631-258-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 WINDING GROVE LN",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527014",
            "telephone_number": "631-258-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COCOON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "PEDDLAR",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "631-258-9396",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Loganville, GA
• Providers in Loganville, GA by specialty
• Hearing and Speech Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.