Individual provider Active NPI

Alexis Faulknor, M.S

  • Speech-Language Pathologist
  • Kennesaw, GA
National Provider Identifier
1649065558
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP013293 Issued in GA
Practice address
1275 Shiloh Rd NW Ste 2330
Kennesaw, GA 30144-7183
Phone
(478) 561-1444
Fax
(706) 739-4703
NPI assigned
Apr 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 SLP013293 GA Primary

Addresses

Primary practice location

1275 Shiloh Rd NW Ste 2330
Kennesaw, GA 30144-7183

Mailing address

1275 Shiloh Rd NW Ste 2330
Kennesaw, GA 30144-7183
Phone (478) 561-1444

Other practice location 1

401 S Wall St Ste 102
Calhoun, GA 30701-2459
Phone (478) 561-1444

Other names 1

  • Alexis Silvers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250609002331 GA Practitioner - Qualified Speech Language Pathologist 3274043237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Voice, Speech, and Swallowing Center of Georgia, LLC CurrentSince Jun 2, 2025 Accepting new patients

Locations

1275 Shiloh Rd NW
Ste 2330
Kennesaw, GA 30144
Phone (478) 561-1444

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1649065558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447183",
            "telephone_number": "478-561-1444",
            "fax_number": "706-739-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SHILOH RD NW STE 2330",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447183",
            "telephone_number": "478-561-1444",
            "fax_number": "706-739-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 S Wall St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307012459",
            "country_code": "US",
            "telephone_number": "478-561-1444",
            "fax_number": "706-739-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNOR",
        "first_name": "ALEXIS",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP013293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "SILVERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.