Nadia Millsap

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010253 Issued in GA

Practice address

5379 Ponderosa Farm Rd
Gainesville, GA 30507-8761

Phone

(678) 736-1490

NPI assigned

Oct 26, 2018

Reactivated

Apr 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Supreme Speech Therapy Services

  • Speech-Language Pathologist
  • Gainesville, GA
  • NPI 1558258608
  NPD Authorized official
• Let'S Talk Therapy, LLC

  • Speech-Language Pathologist
  • Duluth, GA
  • NPI 1699068957
  NPD (past)

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1699242719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5379 PONDEROSA FARM RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5379 PONDEROSA FARM RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078761",
            "telephone_number": "678-736-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLSAP",
        "first_name": "NADIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "deactivation_date": "2021-03-22",
        "reactivation_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lisa Miller, NNP-BC
• Kent Gerard Miller, M.D.
• Sheryl Ann Miller, LPN
• Cortney V Mills, OT
• Mariah Millsap
• James Robert Millwood
• Jena Millwood, DNP
• Mimbs Drug Co
• Mimbs Drug Co.
• Mimbs Drug Co.

• Speech-Language Pathologist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.