Individual provider Active NPI

Jocelyn Shelhimer, MED, CCC-SLP

  • Speech-Language Pathologist
  • Thomaston, GA
National Provider Identifier
1821131723
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005492 Issued in GA
Practice address
105 Marlon St
Thomaston, GA 30286-2266
Phone
(404) 838-0942
Fax
(866) 246-7358
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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 SLP005492 GA Primary

Addresses

Primary practice location

105 Marlon St
Thomaston, GA 30286-2266

Mailing address

105 Marlon St
Thomaston, GA 30286-2266
Phone (404) 838-0942

Other practice location 1

3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320
Phone (770) 831-2313

Other practice location 2

3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320
Phone (770) 831-2313

Other identifiers 1

IdentifierTypeStateIssuer
045348007FMedicaidGA

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)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Georgia, LLC Speech-Language Pathologist CurrentSince Apr 18, 2023 Accepting new patients
Greater Atlanta Speech & Language Clinics, Inc. Speech-Language Pathologist Past Accepting new patients

Locations

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1821131723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARLON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862266",
            "telephone_number": "404-838-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARLON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862266",
            "telephone_number": "404-838-0942",
            "fax_number": "866-246-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3725 Lawrenceville Suwanee Rd",
            "address_2": "Suite B-3",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300242320",
            "country_code": "US",
            "telephone_number": "770-831-2313",
            "fax_number": "770-831-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3725 Lawrenceville Suwanee Rd",
            "address_2": "Suite B-3",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300242320",
            "country_code": "US",
            "telephone_number": "770-831-2313",
            "fax_number": "770-831-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELHIMER",
        "first_name": "JOCELYN",
        "name_prefix": "Miss",
        "credential": "MED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045348007F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.