Individual provider Active NPI

Lindsey Marie Powell, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Marietta, GA
National Provider Identifier
1679186167
Registry record updated Aug 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14196952 Issued in GA
Practice address
2962 Pathview LN
Marietta, GA 30062-1460
Phone
(352) 502-6217
NPI assigned
Aug 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 14196952 GA Primary

Addresses

Primary practice location

2962 Pathview LN
Marietta, GA 30062-1460

Mailing address

2962 Pathview LN
Marietta, GA 30062-1460
Phone (352) 502-6217

Other identifiers 1

IdentifierTypeStateIssuer
14196952OtherGAAMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION

Other names 1

  • Lindsey Marie Mayo Former name

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

LicenseStateTypeSpecialty
14196952GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Pediatric Therapy, Inc. PastSince Aug 1, 2020 Accepting new patients

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": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660435200000",
    "number": "1679186167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 PATHVIEW LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621460",
            "telephone_number": "352-502-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 PATHVIEW LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621460",
            "telephone_number": "352-502-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "14196952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE AND HEARING ASSOCIATION",
            "identifier": "14196952",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "MAYO",
            "middle_name": "MARIE",
            "credential": "MCD, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.