Active NPI
Brittany Scruggs, M.ED., CCC-SLP
- Speech-Language Pathologist
- Lawrenceville, GA
National Provider Identifier
1699209486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008314
- Practice address
- 2179 Lawrenceville Hwy
Suite 207
Lawrenceville, GA 30044-7713 - Phone
- (770) 871-1922
- NPI assigned
- Apr 18, 2017
- 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 | SLP008314 | GA | Primary |
Addresses
Primary practice location
2179 Lawrenceville Hwy
Suite 207
Lawrenceville, GA 30044-7713
Mailing address
3507 Hideaway LN
Loganville, GA 30052-7847
Phone (404) 754-6103
Other names 1
- Brittany Lynn Bear
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008314 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapyzone, LLC | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Lawrenceville, GA
- NPI 1699183434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1699209486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 HIDEAWAY LN",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527847",
"telephone_number": "404-754-6103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2179 LAWRENCEVILLE HWY",
"address_2": "SUITE 207",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447713",
"telephone_number": "770-871-1922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCRUGGS",
"first_name": "BRITTANY",
"credential": "M.ED., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "BEAR",
"middle_name": "LYNN",
"credential": "M.ED., CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.