Raelyn Jo Sumrall

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP010651 Issued in GA

Practice address

1013 Main St Ste D
Perry, GA 31069-4313

Phone

(478) 224-1440

NPI assigned

Jun 11, 2019

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

Other names 1

• Raelyn Jo Little Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Beyond Measure Pediatric Therapies, LLC

  • Pediatric Occupational Therapist
  • Perry, GA
  • NPI 1285394957
  NPD (past)
• Senseabilities, Inc.

  • Case Management Agency
  • Warner Robins, GA
  • NPI 1326395450
  NPD (past)

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1871152009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ADAMS CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053819",
            "telephone_number": "912-486-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MAIN ST STE D",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694313",
            "telephone_number": "478-224-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Arrowhead Trl",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310885390",
            "country_code": "US",
            "telephone_number": "478-333-6363",
            "fax_number": "478-333-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "RAELYN",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP010651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAELYN",
            "last_name": "LITTLE",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Kevin Stewart
• Jacob Stewart
• Larry D. Stewart Jr., MD
• Summerhill, LLC
• Summit Physical Therapy
• Yasmine Breshae Swift
• Tajendra Prasad Pharm LLC
• Tina Fairchild Tambornini, LCSW
• Brittany Tate
• Omar Flores Taveras, LMFT

• Speech-Language Pathologist in Perry, GA
• Providers in Perry, 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 Jun 5, 2024; 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.