Active NPI
Ansley Noel Maness, M.S., CCC-SLP
- Speech-Language Pathologist
- Smyrna, GA
National Provider Identifier
1710623137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012050
- Practice address
- 2660 Gilbert St SE
Smyrna, GA 30080-2102 - Phone
- (865) 209-1894
- NPI assigned
- May 9, 2022
- 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 | 012050 | GA | Primary |
Addresses
Primary practice location
2660 Gilbert St SE
Smyrna, GA 30080-2102
Mailing address
2660 Gilbert St SE
Smyrna, GA 30080-2102
Phone (865) 209-1894
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012050 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1710623137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 GILBERT ST SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802102",
"telephone_number": "865-209-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 GILBERT ST SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802102",
"telephone_number": "865-209-1894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANESS",
"first_name": "ANSLEY",
"middle_name": "NOEL",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-09",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "012050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.