Active NPI
Julia Conley, M.S. CCC-SLP
- Speech-Language Pathologist
- Jonesboro, GA
National Provider Identifier
1720633340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP010598
- Practice address
- 405 Arrowhead Blvd Ste C
Jonesboro, GA 30236-1254 - Phone
- (678) 705-1221
- NPI assigned
- Aug 9, 2019
- 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 | SLP010598 | GA | Primary |
Addresses
Primary practice location
405 Arrowhead Blvd Ste C
Jonesboro, GA 30236-1254
Mailing address
660 Ralph McGill Blvd NE Apt 4123
Atlanta, GA 30312-1162
Phone (606) 465-2862
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 |
|---|---|---|---|
| SLP010598 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1720633340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 RALPH MCGILL BLVD NE APT 4123",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121162",
"telephone_number": "606-465-2862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 ARROWHEAD BLVD STE C",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361254",
"telephone_number": "678-705-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "JULIA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-09",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP010598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.