NPIMap

Organization Active NPI

Communication Dynamics Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Macon, GA
National Provider Identifier
1649716481
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005793 Issued in GA
Legal business name
COMMUNICATION DYNAMICS PEDIATRIC THERAPY, LLC
Practice address
1385 Oglethorpe St
Macon, GA 31201-1511
Phone
(478) 746-1037
Fax
(478) 746-1642
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Tiffany Morris Scandrett, CCC-SLPNPI 1801967427
Title
Owner
Phone
(478) 746-1037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP005793 GA Primary

Addresses

Primary practice location

1385 Oglethorpe St
Macon, GA 31201-1511

Mailing address

1385 Oglethorpe St
Macon, GA 31201-1511
Phone (478) 746-1037

Other identifiers 1

IdentifierTypeStateIssuer
167270852AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1385 Oglethorpe St
Macon, GA 31201
Phone (478) 746-1037

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1649716481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 OGLETHORPE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011511",
            "telephone_number": "478-746-1037",
            "fax_number": "478-746-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 OGLETHORPE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011511",
            "telephone_number": "478-746-1037",
            "fax_number": "478-746-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION DYNAMICS PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "SCANDRETT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-746-1037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167270852A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.