Individual provider Active NPI

Tasha Carter, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1740506146
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007594 Issued in GA
Practice address
722 Avondale Hills Dr
Decatur, GA 30032-5829
Phone
(301) 646-0304
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP007594 GA Primary

Addresses

Primary practice location

722 Avondale Hills Dr
Decatur, GA 30032-5829

Mailing address

722 Avondale Hills Dr
Decatur, GA 30032-5829
Phone (301) 646-0304

Other identifiers 2

IdentifierTypeStateIssuer
12057433OtherAMERICAN SPEECH AND HEARING ASSOCIATION
SLP007594OtherGAGEORGIA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY

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

LicenseStateTypeSpecialty
SLP007594GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Collectively Speaking, LLC Speech-Language Pathologist CurrentSince Apr 27, 2025 Accepting new patients
Innovative Therapy Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1740506146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 AVONDALE HILLS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325829",
            "telephone_number": "301-646-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 AVONDALE HILLS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325829",
            "telephone_number": "301-646-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "TASHA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
            "identifier": "12057433",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF EXAMINERS FOR SPEECH LANGUAGE PATHOLOGY",
            "identifier": "SLP007594",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.