Jane W Davenport, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-005646 Issued in GA

Practice address

604 Washington St NW Ste B2
Gainesville, GA 30501-8545

Phone

(770) 534-5141

Fax

(770) 534-5141

NPI assigned

Aug 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northeast Georgia Speech Center, Inc.

  • Speech-Language Pathologist
  • Gainesville, GA
  • NPI 1013088715
  NPD (past)

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1730598160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 PINEBROOK DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061808",
            "telephone_number": "770-712-9832",
            "fax_number": "770-534-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WASHINGTON ST NW STE B2",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018545",
            "telephone_number": "770-534-5141",
            "fax_number": "770-534-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JANE",
        "middle_name": "W",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP-005646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Darden-Arnette
• Lauren H Darnell, ACNP
• Melanie Dasher Morone, OTR/L
• Mohak P Dave, M.D.
• Candace R Davenport
• Leslie A David, MD
• Mark Davidson, MD
• Amy T Davis, PHD
• Carrie Elizabeth Davis, FNP-BC
• Christopher M Davis

• Speech-Language Pathologist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.