Active NPI
Speech Language and Cognitive Rehabilitation LLC
- Speech-Language Pathologist
- Conyers, GA
National Provider Identifier
1740146935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 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 DirectoryNPI 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
- Southern Pain Institute P C
- Southern Pain Institute PC
- Sovereign Rehabilitation of Georgia, LLC
- Sovereign Rehabilitation of Georgia, LLC
- Yemi Joke Sowemimo, FNP
- Quanta R Speight
- Spelios and Associates Conyers PC
- Megan Catherine Spence, DPT
- Paula M. Spence, PMHNP-BC
- Delores Yvonne Spencer-Izegbu, E.D.
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.