Individual provider Active NPI

Allison Anastasia Eargle, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Dalton, GA
National Provider Identifier
1881209138
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1011 Professional Blvd
Dalton, GA 30720-2506
Phone
(706) 226-4623
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 GA Primary

Addresses

Primary practice location

1011 Professional Blvd
Dalton, GA 30720-2506

Mailing address

1011 Professional Blvd
Dalton, GA 30720-2506
Phone (706) 226-4623

Other names 1

  • Ms. Allison Anastasia Cottillion Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL IntelligentMedicalSolutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Medical Group, PC CurrentSince Sep 20, 2020 Accepting new patients
John W. Looper Jr. Speech & Hearing Clinic Speech-Language Pathologist CurrentSince Sep 20, 2020 Accepting new patients

Locations

1011 Professional Blvd
Dalton, GA 30720
Phone (706) 217-6950

Organizations & group practices 2

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1881209138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202506",
            "telephone_number": "706-226-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202506",
            "telephone_number": "706-226-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARGLE",
        "first_name": "ALLISON",
        "middle_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IntelligentMedicalSolutions",
            "affiliation": "N",
            "address_1": "1011 Professional Blvd",
            "city": "Dalton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307202506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "COTTILLION",
            "middle_name": "ANASTASIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.