Active NPI
Ayatta Hunter-James, M.ED., CCC-SLP
- Speech-Language Pathologist
- Grayson, GA
National Provider Identifier
1689745754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005654
- Practice address
- 2623 Whispering Pines Dr
Grayson, GA 30017-2859 - Phone
- (770) 875-2331
- Fax
- (770) 978-0077
- NPI assigned
- Nov 12, 2006
- 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 | SLP005654 | GA | Primary |
Addresses
Primary practice location
2623 Whispering Pines Dr
Grayson, GA 30017-2859
Mailing address
1834 Stephens Pond VW
Loganville, GA 30052-8752
Phone (770) 875-2331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP005654 | Other | GA | GA STATE SLP LICENSE |
| 10267477 | Other | GA | ASHA LICENSE # |
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)
- Enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1689745754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1834 STEPHENS POND VW",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528752",
"telephone_number": "770-875-2331",
"fax_number": "770-978-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 WHISPERING PINES DR",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300172859",
"telephone_number": "770-875-2331",
"fax_number": "770-978-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER-JAMES",
"first_name": "AYATTA",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA STATE SLP LICENSE",
"identifier": "SLP005654",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA LICENSE #",
"identifier": "10267477",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.