Individual provider Active NPI

Madison Victoria Kress, M.S. CF-SLP

  • Speech-Language Pathologist
  • Roswell, GA
National Provider Identifier
1649901406
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCET003614 Issued in GA
Practice address
11285 Elkins Rd Ste G2
Roswell, GA 30076-1259
Phone
(678) 824-2145
Fax
(404) 937-2983
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 PCET003614 GA Primary

Addresses

Primary practice location

11285 Elkins Rd Ste G2
Roswell, GA 30076-1259

Mailing address

1700 Riverwood LN Apt J
Roswell, GA 30075-5309
Phone (404) 661-0428

Other practice location 1

3900 Legacy Park Blvd NW Ste A100
Kennesaw, GA 30144-7322
Phone (678) 824-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PCET003614GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milton Speech Pathology, LLC Speech-Language Pathologist CurrentSince Jun 26, 2022 Accepting new patients

Locations

3900 Legacy Park Blvd NW
Ste A100
Kennesaw, GA 30144
Phone (678) 824-2145

11285 Elkins Rd
Ste G2
Roswell, GA 30076
Phone (678) 824-2145

1329 Northmeadow Pkwy
Roswell, GA 30076
Phone (678) 824-2145

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1649901406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RIVERWOOD LN APT J",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755309",
            "telephone_number": "404-661-0428",
            "fax_number": "404-937-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 ELKINS RD STE G2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761259",
            "telephone_number": "678-824-2145",
            "fax_number": "404-937-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Legacy Park Blvd NW Ste A100",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301447322",
            "country_code": "US",
            "telephone_number": "678-824-2145",
            "fax_number": "404-937-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRESS",
        "first_name": "MADISON",
        "middle_name": "VICTORIA",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003614",
            "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 Jun 22, 2022; 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.