Jayla Weaver, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012679 Issued in GA

Practice address

4755 Liberty Rd
Villa Rica, GA 30180-3184

Phone

(404) 790-3404

NPI assigned

Jul 21, 2023

Last updated

Jul 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, AR, VA3 enrollments

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  AR, GA, VA

  Medicare reassignment NPD
• Adapt Intervention Services, LLC

  • Clinic/Center
  • Pooler, GA
  • NPI 1740977503
  NPD Authorized official

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1831879071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 LIBERTY RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 LIBERTY RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803184",
            "telephone_number": "404-790-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "JAYLA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy T Warner, M.D.
• Ashaki Eva Warren, M.D.
• Julie G Warren, FNP
• Charis Re'Nee Warwick-Davis, THERAPIST
• Kari Watts
• Kendra Webb-Muhammad, LPC
• Martha Juliet Webb, CTRS
• Wellstar Douglasville Medical Center at Villa Rica, LLC
• Wellstart Medical, LLC
• West Georgia Christian Counseling, LLC

• Speech-Language Pathologist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.