Individual provider Active NPI

Glenda Diane Simpson

  • Speech-Language Pathologist
  • Dawsonville, GA
National Provider Identifier
1700910494
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL007115 Issued in PA
Practice address
80 Emmette Dr
Dawsonville, GA 30534-5838
Phone
(814) 771-3584
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL007115 PA Primary

Addresses

Primary practice location

80 Emmette Dr
Dawsonville, GA 30534-5838

Mailing address

80 Emmette Dr
Dawsonville, GA 30534-5838
Phone (814) 771-3584

Other practice location 1

2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255
Phone (470) 632-3413

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

State licenses

LicenseStateTypeSpecialty
SL007115PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spot on Therapy for Kids, 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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1700910494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EMMETTE DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345838",
            "telephone_number": "814-771-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EMMETTE DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305345838",
            "telephone_number": "814-771-3584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Atlanta Hwy Ste 701",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300401255",
            "country_code": "US",
            "telephone_number": "470-632-3413",
            "fax_number": "678-658-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "GLENDA",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.