Brian Tye, SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005445 Issued in GA

Practice address

1168 Chulio Rd SE
Rome, GA 30161-4084

Phone

(706) 802-0990

NPI assigned

Oct 6, 2020

Sex

Male

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Dawsonville, GA
  • NPI 1528419751

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Winder, GA
  • NPI 1831619337

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1871190561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 ROSWELL AVE SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301616059",
            "telephone_number": "706-331-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 CHULIO RD SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614084",
            "telephone_number": "706-802-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYE",
        "first_name": "BRIAN",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Jason Tucker, PA-C
• Wilson Larry Tucker, M.D.
• Sonia Elizabeth Turner, FNP-BC
• Judith Tutin, PH.D.
• Kaleigh Marie Tutorow, M.ED., CCC-SLP
• Chesnee Tyler, NP
• Unihealth Solutions of Northwest Georgia, Inc. (UniHealth SOURCE - Rome)
• Unihealth Solutions, Inc. (UniHealth Solutions of Rome)
• Laurie Urquhart, D.O.
• Fred Usoh, MD

• Speech-Language Pathologist in Rome, GA
• Providers in Rome, 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 Oct 6, 2020; 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.