Active NPI
Patrica Ann Spratley, SLP
- Speech-Language Pathologist
- Decatur, GA
National Provider Identifier
1669635314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005706
- Practice address
- 3300 Memorial Dr
Decatur, GA 30032-2700 - Phone
- (678) 665-9667
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005706 | GA | Primary |
Addresses
Primary practice location
3300 Memorial Dr
Decatur, GA 30032-2700
Mailing address
PO Box 2877
Covington, GA 30015-7877
Phone (678) 665-9667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 453221976D | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005706 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1669635314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2877",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300157877",
"telephone_number": "678-665-9667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 MEMORIAL DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300322700",
"telephone_number": "678-665-9667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRATLEY",
"first_name": "PATRICA",
"middle_name": "ANN",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "453221976D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.