Abigail Brannen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011931 Issued in GA

Practice address

1351 Jennings Mill Rd Unit a
Watkinsville, GA 30677-7237

Phone

(850) 694-3082

Fax

(706) 510-1372

NPI assigned

Jan 21, 2020

Last updated

Aug 25, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Flow Speech Therapy LLC

  • Speech-Language Pathologist
  • Bainbridge, GA
  • NPI 1184409591
  NPD Authorized official
• Capital Speech and Language Therapy Services LLC

  • Speech-Language Pathologist
  • Tallahassee, FL
  • NPI 1376925172
  NPD (past)

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1851921613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SKYLINE PKWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063841",
            "telephone_number": "850-694-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 JENNINGS MILL RD UNIT A",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777237",
            "telephone_number": "850-694-3082",
            "fax_number": "706-510-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "ABIGAIL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15388",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowtie Hearing Aid Center LLC
• Michael Boyd, PA
• Emaly Elizabeth Bradford, PA-C
• Ashley Spake Bradley, NP
• Emily J. Bradley, D.M.D.
• Courtney Brannen, FNP
• Brant Sandifer DMD LLC (Aesthetic Dental Associates)
• Savannah Braymiller, BCBA, LBA, MS
• Casey Alexandra Brennan
• Lisa Brenner, RBT

• Speech-Language Pathologist in Watkinsville, GA
• Providers in Watkinsville, 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 Aug 25, 2023; 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.