Amanda St Germain

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP009109 Issued in GA

Practice address

500 Lanier Ave W Ste 603
Fayetteville, GA 30214-7644

Phone

(678) 884-5085

NPI assigned

Apr 14, 2010

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

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

• Picayune School District

  • Local Education Agency (LEA)
  • Picayune, MS
  • NPI 1407188477
  NPD (past)

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1891011946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 603",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147644",
            "telephone_number": "601-590-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 603",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147644",
            "telephone_number": "678-884-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST GERMAIN",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole L Sroka, M.D.
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• St. Christophers Private Homecare Agency
• Tracey Lynn St. Julian, MD
• Star Treatment Transportation LLC
• Starr's Mill Internal Medicine, LLC

• Speech-Language Pathologist in Fayetteville, GA
• Providers in Fayetteville, 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 18, 2026; 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.