Primary Pathways, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005791 Issued in GA

Legal business name

PRIMARY PATHWAYS, LLC

Practice address

1258 Concord Rd SE Ste 104
Smyrna, GA 30080-4302

Phone

(770) 500-5508

Fax

(404) 597-4050

NPI assigned

Apr 4, 2012

Last updated

Jun 18, 2020By 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

Jacqueline D Murry, PH.D.NPI 1225189574

Title

Agent

Phone

(770) 500-5508

Specialties & licenses 1

Addresses

Other names 1

• Primary Pathways Speech & Language Services, LLC Other name

Electronic endpoints 1

Tax ID family

Primary Pathways LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Primary Pathways, LLC

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1528485455
  NPD tax ID

Locations

Practitioners 3

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.

• Jacqueline Denise Murry, PH.D

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1225189574
  Authorized official Same address or phone
• Tonja Renee Edmond, SLP-CCC

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1760641005
  NPD (past)
• Erika Laibson Kabu

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1770829426
  NPD (past)

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1649536640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 N DRUID HILLS RD # 214",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333105",
            "telephone_number": "770-500-5508",
            "fax_number": "404-597-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 CONCORD RD SE STE 104",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804302",
            "telephone_number": "770-500-5508",
            "fax_number": "404-597-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "MURRY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "770-500-5508",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smyrna",
            "affiliation": "N",
            "address_1": "Primary Pathways Speech & Language Services, LLC",
            "address_2": "1258 Concord Rd SE, Suite 104",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Primary Pathways Speech & Language Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Smyrna, GA
• Providers in Smyrna, 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 Jun 18, 2020; 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.