Individual provider Active NPI

Talia Rogers, SLP

  • Speech-Language Pathologist
  • Macon, GA
National Provider Identifier
1871961763
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007658 Issued in GA
Practice address
5021 Mercer University Dr
D3
Macon, GA 31210-5691
Phone
(478) 956-4916
Fax
(478) 956-0958
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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 SLP007658 GA Primary

Addresses

Primary practice location

5021 Mercer University Dr
D3
Macon, GA 31210-5691

Mailing address

PO Box 1552
Byron, GA 31008-1552
Phone (478) 956-4916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200402000220 GA Practitioner - Qualified Speech Language Pathologist 0345679916 Reassigns benefits to 1 organization
I20210304001448 TN Practitioner - Qualified Speech Language Pathologist 0345679916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5297TNMDPharmacist
SLP007658GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Georgia Family Rehab CurrentSince Mar 1, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jan 10, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Jan 10, 2021 Accepting new patients

Locations

100 Hamilton Pointe Dr
Ste 115
Byron, GA 31008
Phone (478) 845-3520

4671 Mercer University Dr
Macon, GA 31210
Phone (478) 475-9990

960 S Seivers Blvd
Clinton, TN 37716
Phone (865) 270-3178

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1871961763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1552",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310081552",
            "telephone_number": "478-956-4916",
            "fax_number": "478-956-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 MERCER UNIVERSITY DR",
            "address_2": "D3",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105691",
            "telephone_number": "478-956-4916",
            "fax_number": "478-956-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "TALIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.