Kerri Powell Duncan, MSP, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2233 Issued in SC

Practice address

1723 Garland Rd
Gable, SC 29051-9662

Phone

(803) 460-3297

NPI assigned

Jun 20, 2005

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

Other identifiers 1

Other names 1

• Kerri Powell McCormack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmetto Professional Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Gable, SC
  • NPI 1376991687
  Authorized official Same address or phone
• Carolina Speech Therapy Associates SC,Inc

  • Speech-Language Pathologist
  • Sumter, SC
  • NPI 1114245057
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1831194430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 GARLAND RD",
            "city": "GABLE",
            "state": "SC",
            "postal_code": "290519662",
            "telephone_number": "803-460-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 GARLAND RD",
            "city": "GABLE",
            "state": "SC",
            "postal_code": "290519662",
            "telephone_number": "803-460-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KERRI",
        "middle_name": "POWELL",
        "credential": "MSP, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0167",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "MCCORMACK",
            "middle_name": "POWELL",
            "credential": "MSP, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Palmetto Professional Speech Therapy Services LLC

• Speech-Language Pathologist in Gable, SC
• Providers in Gable, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.