Active NPI
Sierra Smalls, CCCSLP
- Speech-Language Pathologist
- Chamblee, GA
National Provider Identifier
1760819239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP008190
- Practice address
- 4961 Buford Highway Suite 201
Suite 201
Chamblee, GA 30341 - Phone
- (404) 575-4000
- Fax
- (678) 279-7370
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP008190 | GA | Primary |
Addresses
Primary practice location
4961 Buford Highway Suite 201
Suite 201
Chamblee, GA 30341
Mailing address
4961 Buford Highway Suite 201
Suite 201
Chamblee, GA 30341
Phone (404) 575-4000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP008190 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1760819239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4961 BUFORD HIGHWAY SUITE 201",
"address_2": "SUITE 201",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "30341",
"telephone_number": "404-575-4000",
"fax_number": "678-279-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4961 BUFORD HIGHWAY SUITE 201",
"address_2": "SUITE 201",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "30341",
"telephone_number": "404-575-4000",
"fax_number": "678-279-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLS",
"first_name": "SIERRA",
"credential": "CCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP008190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.