Mackenna Noel Grubiss

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011134 Issued in GA

Practice address

2360 Murphy Blvd
Gainesville, GA 30504-6002

Phone

(770) 535-8372

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• M&M Speech and Feeding Services, LLC.

  • Speech-Language Pathologist
  • Gainesville, GA
  • NPI 1023713252
  NPD Authorized official
• Sisu of Georgia, Inc

  • Speech-Language Pathologist
  • Gainesville, GA
  • NPI 1043385057
  NPD
• Prosper Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Dawsonville, GA
  • NPI 1720660152

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1780230516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MURPHY BLVD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305046002",
            "telephone_number": "770-535-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 MURPHY BLVD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305046002",
            "telephone_number": "770-535-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Prominence Ct",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305346376",
            "country_code": "US",
            "telephone_number": "401-216-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBISS",
        "first_name": "MACKENNA",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Grogan
• Alyssa Larrece Groover, M.ED, CCC-SLP
• Tiffany Nicole Groskreutz, RN
• Phillip John Gross, M.D., M.P.H.
• Alexandra Groveman, SLP-CCC
• Betsy H Grunch, MD
• Guardian Medical Transport
• Lyn B Guerrant, RPH
• Eveleen Guirguis, RPH
• Joseph B Gunn, MD

• Speech-Language Pathologist in Gainesville, GA
• Providers in Gainesville, 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 Mar 15, 2023; 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.