Active NPI
Todd Alan Wingard, MS CCC SLP
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1912143223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006597
- Practice address
- 11120 Skyline LN NE
Atlanta, GA 30345-7905 - Phone
- (404) 502-6377
- NPI assigned
- Dec 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP006597 | GA | Primary |
Addresses
Primary practice location
11120 Skyline LN NE
Atlanta, GA 30345-7905
Mailing address
11120 Skyline LN NE
Atlanta, GA 30345-7905
Phone (404) 502-6377
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006597 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1912143223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 SKYLINE LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303457905",
"telephone_number": "404-502-6377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 SKYLINE LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303457905",
"telephone_number": "404-502-6377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGARD",
"first_name": "TODD",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-17",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.