Tracey Samet Grant, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

660 Glenairy Dr
Sandy Springs, GA 30328-4215

Phone

(404) 664-1125

NPI assigned

Oct 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1801496484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GLENAIRY DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284215",
            "telephone_number": "404-664-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLENAIRY DR",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284215",
            "telephone_number": "404-664-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TRACEY",
        "middle_name": "SAMET",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kissaba.com",
            "affiliation": "Y",
            "affiliationName": "Keeping It Specially Simple",
            "address_1": "660 Glenairy Dr",
            "city": "Sandy Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303284215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geetika Goyal, FNP-C
• Jalessa Jonelle Graham-Hudgins, MD
• Grain of Sand Academy
• Ernestine Grant
• Makayla Grant
• Victoria Gray
• Ciara Green, LCSW
• Jayne' Green, LPC, LMHC, CAMS II
• Melony Ethel Shelton Green
• Jacob Noah Greenberg, M.D.

• Speech-Language Pathologist in Sandy Springs, GA
• Providers in Sandy Springs, 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 Nov 27, 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.