Organization Active NPI

Beacon Inc

Doing business as Speech Language Pathology Services

  • Speech-Language Pathologist
  • Taylors, SC
National Provider Identifier
1689892853
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BEACON INC
Doing business as
Speech Language Pathology Services
Practice address
4501 Old Spartanburg Rd Ste 7
Eastside Professional Court
Taylors, SC 29687-4105
Phone
(864) 292-5154
Fax
(864) 292-5154
NPI assigned
Apr 23, 2007
Last updated
Oct 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Ms. Jeannie Carol Turley, MSPNPI 1497973655
Title
President
Phone
(864) 292-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

4501 Old Spartanburg Rd Ste 7
Eastside Professional Court
Taylors, SC 29687-4105

Mailing address

4501 Old Spartanburg Rd Ste 7
Eastside Professional Court
Taylors, SC 29687-4105
Phone (864) 292-5154

Other names 1

  • SPEECH LANGUAGE PATHOLOGY SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101111000408 SC Part B Supplier - Clinic/Group Practice 4880889294 Receives reassigned benefits from 1 practitioner
Practice locations: Taylors, SC

National Provider Directory

National Provider Directory

Locations

4501 Old Spartanburg Rd
Ste 7
Taylors, SC 29687
Phone (864) 292-5154

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1689892853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 OLD SPARTANBURG RD STE 7",
            "address_2": "EASTSIDE PROFESSIONAL COURT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874105",
            "telephone_number": "864-292-5154",
            "fax_number": "864-292-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 OLD SPARTANBURG RD STE 7",
            "address_2": "EASTSIDE PROFESSIONAL COURT",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296874105",
            "telephone_number": "864-292-5154",
            "fax_number": "864-292-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-292-5154",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPEECH LANGUAGE PATHOLOGY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylors, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.