Mesa Miller, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

28711 Issued in CA

Practice address

4060 Kurt Dr
Macon, GA 31204-5635

Phone

(478) 747-5197

NPI assigned

Feb 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Dr. Mesa Miller Aldrich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bilingual Pediatric Therapies, Inc.

  • Hearing and Speech Clinic/Center
  • Oklahoma City, OK
  • NPI 1376906800
  NPD
• Shepherd Mall Therapy LLC

  • Physical Therapy Clinic/Center
  • Oklahoma City, OK
  • NPI 1285136135
  NPD (past)

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1922467893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 KURT DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045635",
            "telephone_number": "478-747-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 KURT DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312045635",
            "telephone_number": "478-747-5197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 NW 23rd St Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731072420",
            "country_code": "US",
            "telephone_number": "405-355-3239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Vonderburg Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115900",
            "country_code": "US",
            "telephone_number": "813-653-1149",
            "fax_number": "813-654-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MESA",
        "name_prefix": "Dr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "5621",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "28711",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15263",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009162",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020571900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MESA",
            "last_name": "ALDRICH",
            "middle_name": "MILLER",
            "prefix": "DR.",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Conrad N. Miller Jr., M.D.
• Jay A Miller, P.A.
• Kyle Miller, PA
• Laura Miller, D.O.
• Lucy Miller, LPC, CADCII
• Mikaela Miller, MS, LAT, ATC
• Milton Miller Jr., D.C.
• Reyna Miller
• Royce Clifton Miller Jr., M.D.
• Jacob Milliner

• Speech-Language Pathologist in Macon, GA
• Providers in Macon, 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 Apr 29, 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.