Deeper Roots Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DEEPER ROOTS SPEECH THERAPY, LLC

Practice address

10510 Colony Glen Dr
Johns Creek, GA 30022-5791

Phone

(601) 654-4912

Fax

(470) 260-3110

NPI assigned

Mar 2, 2022

Last updated

May 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Megan Renee Kelly, MS, CCC-SLPNPI 1992313530

Title

Owner/Speech-Language Pathologist

Phone

(423) 915-6573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Megan Renee Kelly, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Duluth, GA
  • NPI 1992313530
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1760139562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 COLONY GLEN DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225791",
            "telephone_number": "601-654-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 COLONY GLEN DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300225791",
            "telephone_number": "601-654-4912",
            "fax_number": "470-260-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER ROOTS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "423-915-6573",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Johns Creek, GA
• Providers in Johns Creek, 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 13, 2026; 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.