Susan Kay Elliott

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP001921 Issued in GA

Practice address

1810 Presidents Dr
Lawrenceville, GA 30043-7187

Phone

(770) 995-5001

NPI assigned

Dec 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354924800000",
    "number": "1659616282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 PRESIDENTS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437187",
            "telephone_number": "770-995-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 PRESIDENTS DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437187",
            "telephone_number": "770-995-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-08",
        "last_updated": "2012-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Wellness Inc
• Elle'S Pharmacy
• Richard S Ellin, MD
• Beverley Elliott, RN
• Cynthia Lawrence Elliott, M.D.
• Howard Ross Ellis, MD
• Latisha Taylor Ellis, LPC
• Robert E Ellis, DDS
• Rodica Simina Ellis, MD
• Terri M. Ellis, MS CCC-SLP

• Speech-Language Pathologist in Lawrenceville, GA
• Providers in Lawrenceville, 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 Dec 8, 2012; 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.