Individual provider Active NPI

Alexandra Duke, MS, SLP

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1831876127
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
PCTE003849 Issued in GA
Practice address
6980 Roswell Rd Unit K11
Atlanta, GA 30328-2243
Phone
(786) 385-8319
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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 PCTE003849 GA Primary

Addresses

Primary practice location

6980 Roswell Rd Unit K11
Atlanta, GA 30328-2243

Mailing address

2623 Hatfield Cir SE
Atlanta, GA 30316-3922
Phone (678) 231-7221

Other practice location 1

1140 Hightower Trl Ste 104
Atlanta, GA 30350-2988
Phone (404) 638-4469

Other practice location 2

2623 Hatfield Cir SE
Atlanta, GA 30316-3922
Phone (678) 231-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003074 GA Practitioner - Qualified Speech Language Pathologist 7113452590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Pathways Preferred of Tennessee LLCGroup PAC ID 2860649654, 194 clinicians
Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Practice addresses (Care Compare)

1825 Clifton Rd NE
Atlanta, GA 30329-4047
Phone (888) 531-2204

5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PCTE003849GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Pathways Preferred of Tennessee LLC Speech-Language Pathologist CurrentSince Jul 31, 2024 Accepting new patients
Well Spoken Speech Therapy Speech-Language Pathologist PastSince Jul 2, 2023 Accepting new patients

Locations

1825 Clifton Rd NE
Atlanta, GA 30329
Phone (256) 254-0137

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847

Organizations & group practices 3

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1831876127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 HATFIELD CIR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163922",
            "telephone_number": "678-231-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6980 ROSWELL RD UNIT K11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282243",
            "telephone_number": "786-385-8319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Hightower Trl Ste 104",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303502988",
            "country_code": "US",
            "telephone_number": "404-638-4469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 Hatfield Cir SE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303163922",
            "country_code": "US",
            "telephone_number": "678-231-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKE",
        "first_name": "ALEXANDRA",
        "credential": "MS, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCTE003849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.