Katie Pittman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011567 Issued in GA

Practice address

477 Prominence CT Ste 100
Dawsonville, GA 30534-6377

Phone

(401) 216-9564

NPI assigned

Jun 12, 2021

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

Other identifiers 1

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.

• Prosper Therapy Services, LLC

  • Pediatric Occupational Therapist
  • Dawsonville, GA
  • NPI 1720660152

  Speech-Language Pathologist

  NPD
• Lifting Spirits Therapy Services, Inc

  • Pediatric Occupational Therapist
  • Gainesville, GA
  • NPI 1083891907
  NPD (past)
• Mind and Motion, LLC

  • Developmental Disabilities Clinic/Center
  • Suwanee, GA
  • NPI 1427434034
  NPD (past)

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1932777349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 PROMINENCE CT STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346377",
            "telephone_number": "401-216-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 PROMINENCE CT STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346377",
            "telephone_number": "401-216-9564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Research Ct Ste 800",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246606",
            "country_code": "US",
            "telephone_number": "678-749-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2024-07-29",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA SLP LICENSE",
            "identifier": "SLP011567",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Phelan, LCSW
• Megan Phillips, PT, DPT
• Physicians Immediate Med of Dawsonville
• Physiotherapy Associates Inc (Physio-Dawnsonville)
• Keila Pitman
• Kevin Lamar Powell, MD
• Primecare Mobility LLC
• William Angelo Primos Jr., MD
• Professional Therapy Services, LLC (Pro Therapy)
• Prominence Pharmacy PC (Prominence pharmacy)

• Speech-Language Pathologist in Dawsonville, GA
• Providers in Dawsonville, 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 Jul 29, 2024; 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.