Individual provider Active NPI

Chelsea Marie Underwood

  • Speech-Language Pathologist
  • Roswell, GA
National Provider Identifier
1649897901
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7230 Issued in SC
Practice address
75 Magnolia St
Roswell, GA 30075-4381
Phone
(770) 645-1900
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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 7230 SC Primary

Addresses

Primary practice location

75 Magnolia St
Roswell, GA 30075-4381

Mailing address

934 Anna LN
Anderson, SC 29625-5382
Phone (910) 273-6693

Other practice location 1

934 Anna Ln
Anderson, SC 29625-5382
Phone (910) 273-6693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211103002616 GA Practitioner - Qualified Speech Language Pathologist 7517385024 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Weston Group Inc. CurrentSince Oct 21, 2021 Accepting new patients
Paxxon Healthcare Services LLC Speech-Language Pathologist CurrentSince Oct 21, 2021 Accepting new patients
Legacy Healthcare Services Inc Speech-Language Pathologist CurrentSince Dec 11, 2023 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Speech-Language Pathologist CurrentSince Jan 10, 2023 Accepting new patients
Paxxon Healthcare Services LLC CurrentSince Oct 21, 2021 Accepting new patients
Neurowise Speech Therapy Current Accepting new patients
Legacy Healthcare Services, Inc. Speech-Language Pathologist CurrentSince Dec 11, 2023 Accepting new patients
Legacy Healthcare Services, Inc. Speech-Language Pathologist CurrentSince Dec 11, 2023 Accepting new patients
The Weston Group Inc. Speech-Language Pathologist CurrentSince Oct 21, 2021 Accepting new patients

Locations

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

1504 Renaissance Dr NE
Conyers, GA 30012
Phone (404) 421-2570

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

5701 Spalding Dr
Peachtree Corners, GA 30092
Phone (470) 706-8162

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 9

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1649897901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 ANNA LN",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296255382",
            "telephone_number": "910-273-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MAGNOLIA ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754381",
            "telephone_number": "770-645-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "934 Anna Ln",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296255382",
            "country_code": "US",
            "telephone_number": "910-273-6693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "CHELSEA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.