Active NPI
Therese Marie McCoy, SLP
- Speech-Language Pathologist
- Americus, GA
National Provider Identifier
1831235100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007626
- Practice address
- 120 E Glessner St
Americus, GA 31709-4202 - Phone
- (325) 234-5610
- NPI assigned
- Jan 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17172 | TX | |
| Speech-Language Pathologist | 235Z00000X | SLP007626 | GA | Primary |
Addresses
Primary practice location
120 E Glessner St
Americus, GA 31709-4202
Mailing address
120 E Glessner St
Americus, GA 31709-4202
Phone (325) 234-5610
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17172 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| SLP007626 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1831235100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E GLESSNER ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317094202",
"telephone_number": "325-234-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E GLESSNER ST",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317094202",
"telephone_number": "325-234-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "THERESE",
"middle_name": "MARIE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "17172",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.