Organization Active NPI

Voice, Speech, and Swallowing Center of Georgia, LLC

  • Hearing and Speech Clinic/Center
  • Acworth, GA
National Provider Identifier
1760040414
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
VOICE, SPEECH, AND SWALLOWING CENTER OF GEORGIA, LLC
Practice address
407 Livingston PT
Acworth, GA 30102-0104
Phone
(770) 548-1068
NPI assigned
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Brittany Palmer, CCC-SLPNPI 1285872861
Title
Owner
Phone
(770) 548-1068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

407 Livingston PT
Acworth, GA 30102-0104

Mailing address

407 Livingston PT
Acworth, GA 30102-0104
Phone (770) 548-1068

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittany@georgiaspeech.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200610000895 GA Part B Supplier - Clinic/Group Practice 2466873864 Receives reassigned benefits from 2 practitioners
Practice locations: Kennesaw, GA

National Provider Directory

National Provider Directory

Locations

1275 Shiloh Rd NW
Ste 2330
Kennesaw, GA 30144
Phone (478) 561-1444

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1760040414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LIVINGSTON PT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301020104",
            "telephone_number": "770-548-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LIVINGSTON PT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301020104",
            "telephone_number": "770-548-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOICE, SPEECH, AND SWALLOWING CENTER OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-548-1068",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany@georgiaspeech.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "407 Livingston Pt",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301020104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.