Organization Active NPI

Speech Language and Cognitive Rehabilitation LLC

  • Speech-Language Pathologist
  • Conyers, GA
National Provider Identifier
1740146935
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH LANGUAGE AND COGNITIVE REHABILITATION LLC
Practice address
1764 Bob White Lane
Conyers, GA 30013
Phone
(470) 223-1838
NPI assigned
Dec 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Synebia Martin
Title
Manager
Phone
(678) 663-2359

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1764 Bob White Lane
Conyers, GA 30013

Mailing address

1820 Highway 20 SE Ste 114
Conyers, GA 30013-2076
Phone (470) 223-1838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1767139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1740146935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 HIGHWAY 20 SE STE 114",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132076",
            "telephone_number": "470-223-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 BOB WHITE LANE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "470-223-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE AND COGNITIVE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-31",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SYNEBIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-663-2359"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.