Active NPI
Communication Station, LLC
- Speech-Language Pathologist
- Evans, GA
National Provider Identifier
1699914424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- COMMUNICATION STATION, LLC
- Practice address
- 601 N Belair SQ
Suite 19
Evans, GA 30809-4321 - Phone
- (706) 364-1486
- Fax
- (706) 364-1487
- NPI assigned
- Feb 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Leigh Blackburn Canady, M.ED.,
- Title
- CCC-SLP
- Phone
- (706) 364-1486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
601 N Belair SQ
Suite 19
Evans, GA 30809-4321
Mailing address
601 N Belair SQ
Suite 19
Evans, GA 30809-4321
Phone (706) 364-1486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238975068A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234915200000",
"number": "1699914424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N BELAIR SQ",
"address_2": "SUITE 19",
"city": "EVANS",
"state": "GA",
"postal_code": "308094321",
"telephone_number": "706-364-1486",
"fax_number": "706-364-1487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N BELAIR SQ",
"address_2": "SUITE 19",
"city": "EVANS",
"state": "GA",
"postal_code": "308094321",
"telephone_number": "706-364-1486",
"fax_number": "706-364-1487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNICATION STATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-18",
"last_updated": "2009-02-18",
"status": "A",
"authorized_official_last_name": "CANADY",
"authorized_official_first_name": "LEIGH",
"authorized_official_middle_name": "BLACKBURN",
"authorized_official_title_or_position": "CCC-SLP",
"authorized_official_telephone_number": "706-364-1486",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.ED.,"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "238975068A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.