Active NPI
Carollynn McMahan, MED, CCC-SLP
- Speech-Language Pathologist
- Villa Rica, GA
National Provider Identifier
1821582230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP003428
- Practice address
- 5058 Britton Dr
Villa Rica, GA 30180-8620 - Phone
- (770) 366-9926
- NPI assigned
- Jun 19, 2018
- 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 | SLP003428 | GA | Primary |
Addresses
Primary practice location
5058 Britton Dr
Villa Rica, GA 30180-8620
Mailing address
5058 Britton Dr
Villa Rica, GA 30180-8620
Phone (770) 366-9926
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP003428 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1821582230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5058 BRITTON DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301808620",
"telephone_number": "770-366-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5058 BRITTON DR",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301808620",
"telephone_number": "770-366-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHAN",
"first_name": "CAROLLYNN",
"credential": "MED, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP003428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.