Active NPI
Melanie McGriff, M.ED. CCC-SLP
- Speech-Language Pathologist
- Suwanee, GA
National Provider Identifier
1700984564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004267
- Practice address
- 4055 Johns Creek Pkwy Ste a
Suwanee, GA 30024-1299 - Phone
- (770) 888-5221
- Fax
- (770) 623-5544
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | SLP004267 | GA | Primary |
Addresses
Primary practice location
4055 Johns Creek Pkwy Ste a
Suwanee, GA 30024-1299
Mailing address
4055 Johns Creek Pkwy Ste a
Suwanee, GA 30024-1299
Phone (770) 888-5221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954558226B | Medicaid | GA |
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 |
|---|---|---|---|
| SLP004267 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Creek Therapy | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4055 Johns Creek Pkwy
Suwanee, GA 30024
Phone (770) 888-5221
3905 Johns Creek Ct
Ste 250
Suwanee, GA 30024
Phone (770) 888-5221
4055 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 957-6040
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.
-
- Multi-Specialty Clinic/Center
- Suwanee, GA
- NPI 1700983772
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1700984564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 JOHNS CREEK PKWY STE A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241299",
"telephone_number": "770-888-5221",
"fax_number": "770-623-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 JOHNS CREEK PKWY STE A",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241299",
"telephone_number": "770-888-5221",
"fax_number": "770-623-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRIFF",
"first_name": "MELANIE",
"credential": "M.ED. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "954558226B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.