Semantix, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005335 Issued in GA

Legal business name

SEMANTIX, INC

Practice address

2185 Northlake Pkwy
Suite 110
Tucker, GA 30084-4126

Phone

(770) 492-1313

Fax

(770) 492-1235

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Corey Evont Evans, MA CCC-SLP

Title

Speech Pathologist

Phone

(770) 492-1313

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679602841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 NORTHLAKE PKWY",
            "address_2": "SUITE 110",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844126",
            "telephone_number": "770-492-1313",
            "fax_number": "770-492-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 NORTHLAKE PKWY",
            "address_2": "SUITE 110",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844126",
            "telephone_number": "770-492-1313",
            "fax_number": "770-492-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMANTIX, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "EVONT",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "770-492-1313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005335",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP 005885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00955028D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.