Prendergast Group, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PRENDERGAST GROUP, LLC

Practice address

166 Watercress CT
Stockbridge, GA 30281-7261

Phone

(404) 474-1627

NPI assigned

May 25, 2020

Organization subpart

No

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

Authorized official

Name

Tamika Prendergast, MSCCCSLP

Title

Director

Phone

(404) 474-1627

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Interoperability endpoints

• Direct secure messaging: webmail@tpgspeechtherapy.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamika Thompson, MS, CCC-SLP

  • Speech-Language Pathologist
  • Stockbridge, GA
  • NPI 1861686016
  NPD

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

{
    "created_epoch": "1590364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590364800000",
    "number": "1760005730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 WATERCRESS CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WATERCRESS CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817261",
            "telephone_number": "404-474-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENDERGAST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-25",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-474-1627",
        "authorized_official_credential": "MSCCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861686016",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Webmail@tpgspeechtherapy.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "166 Watercress Ct",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302817261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WebMail@tpgspeechtherapy.com",
            "affiliation": "N",
            "address_1": "166 Watercress Ct",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302817261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Stockbridge, GA
• Providers in Stockbridge, 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 May 25, 2020; 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.