Active NPI
Hope Michelle Schrock
- Speech-Language Pathologist
- Saint Marys, GA
National Provider Identifier
1679303382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011914
- Practice address
- 2000 Dan Proctor Dr
Saint Marys, GA 31558-3810 - Phone
- (912) 576-6450
- Fax
- (912) 576-6454
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- No
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 | SLP011914 | GA | Primary |
Addresses
Primary practice location
2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Mailing address
205 Waters Edge Dr
Kingsland, GA 31548-6917
Phone (912) 674-3017
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 |
|---|---|---|---|
| SLP011914 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1679303382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WATERS EDGE DR",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486917",
"telephone_number": "912-674-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 DAN PROCTOR DR",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583810",
"telephone_number": "912-576-6450",
"fax_number": "912-576-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROCK",
"first_name": "HOPE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.