Individual provider Active NPI

Jamie Stanfield Brown, M. ED., CCC-SLP

  • Speech-Language Pathologist
  • Warm Springs, GA
National Provider Identifier
1790916229
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007124 Issued in GA
Practice address
6135 Roosevelt Hwy
Warm Springs, GA 31830
Phone
(706) 655-5738
Fax
(706) 655-5742
NPI assigned
Jul 31, 2009
Last updated
Jul 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP007124 GA Primary

Addresses

Primary practice location

6135 Roosevelt Hwy
Warm Springs, GA 31830

Mailing address

6135 Roosevelt Hwy
Warm Springs, GA 31830
Phone (706) 655-5738

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SLP007124GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248998400000",
    "number": "1790916229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 ROOSEVELT HWY",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "31830",
            "telephone_number": "706-655-5738",
            "fax_number": "706-655-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 ROOSEVELT HWY",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "31830",
            "telephone_number": "706-655-5738",
            "fax_number": "706-655-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMIE",
        "middle_name": "STANFIELD",
        "name_prefix": "Mrs.",
        "credential": "M. ED., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.