Active NPI
Pristina Rose George, M.S., CCC-SLP
- Speech-Language Pathologist
- Buford, GA
National Provider Identifier
1730901240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP013334
- Practice address
- 2140 Buford Hwy Ste 109
Buford, GA 30518-6121 - Phone
- (470) 589-1742
- NPI assigned
- Oct 26, 2024
- Last updated
- Oct 26, 2024
- 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 | SLP013334 | GA | Primary |
Addresses
Primary practice location
2140 Buford Hwy Ste 109
Buford, GA 30518-6121
Mailing address
2140 Buford Hwy Ste 109
Buford, GA 30518-6121
Phone (470) 589-1742
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 |
|---|---|---|---|
| SLP013334 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buford Kids Spot LLLP | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2140 Buford Hwy
Ste 109
Buford, GA 30518
Phone (404) 358-2640
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Buford, GA
- NPI 1669004743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729900800000",
"number": "1730901240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 BUFORD HWY STE 109",
"city": "BUFORD",
"state": "GA",
"postal_code": "305186121",
"telephone_number": "470-589-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 BUFORD HWY STE 109",
"city": "BUFORD",
"state": "GA",
"postal_code": "305186121",
"telephone_number": "470-589-1742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "PRISTINA",
"middle_name": "ROSE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-26",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP013334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Melissa Gasparetto Menezes, MT
- Amanda Gay, MS-OTR/L
- Hoyt Wayborn Gazaway Jr., M.D.
- Amaris Nicole Geisler, BS, MD
- Clarissa Dawn George, RT (R) (CT)
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- Georgia Dental Professionals, PC (Ivy Creek Dental Care)
- Georgia Dental Professionals, PC (Golden Park Village Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.