Amanda McNease, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007802 Issued in GA

Practice address

502 Wheat Ave
Bainbridge, GA 39819-4325

Phone

(229) 246-4088

Fax

(229) 246-0205

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1669802294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 HATCHER RD",
            "city": "BRINSON",
            "state": "GA",
            "postal_code": "398251807",
            "telephone_number": "229-254-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WHEAT AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194325",
            "telephone_number": "229-246-4088",
            "fax_number": "229-246-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEASE",
        "first_name": "AMANDA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Wooten Martin, O.D.
• Landin John Marzolf, D.C.
• Jimmy Foster Maxwell, D.M.D., P.C.
• Pauline Maxwell, LPC
• Bethany Breckenridge McElyea, LPC
• Jon Mallory McRae Sr., DDS
• Jon Mallory McRae Jr., M.D.
• Crystal Joy Micken, LPC, CRC
• Milestones Pediatric Therapy, LLC
• Emilee Poppell Miller

• Speech-Language Pathologist in Bainbridge, GA
• Providers in Bainbridge, 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 Nov 18, 2013; 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.