Individual provider Active NPI

Joy Caroline Merchan, M.ED., CCC-SLP & LPN

  • Speech-Language Pathologist
  • Lilburn, GA
National Provider Identifier
1891915096
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005915 Issued in GA
Practice address
1255 Pond Springs Trce SW
Lilburn, GA 30047-1992
Phone
(404) 422-0178
Fax
(678) 783-7925
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN060809 GA
Speech-Language Pathologist 235Z00000X SLP005915 GA Primary

Addresses

Primary practice location

1255 Pond Springs Trce SW
Lilburn, GA 30047-1992

Mailing address

1255 Pond Springs Trce SW
Lilburn, GA 30047-1992
Phone (404) 422-0178

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPN060809GAMDLicensed Practical Nurse
SLP005915GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Hospice Services LLC Current Accepting new patients
Therapy to Go LLC Licensed Practical Nurse CurrentSince Sep 5, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1891915096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 POND SPRINGS TRCE SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471992",
            "telephone_number": "404-422-0178",
            "fax_number": "678-783-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 POND SPRINGS TRCE SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300471992",
            "telephone_number": "404-422-0178",
            "fax_number": "678-783-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHAN",
        "first_name": "JOY",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP & LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN060809",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.