Johnna Lee Kendrick, SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET004170 Issued in GA

Practice address

611 S Grant St
Fitzgerald, GA 31750-3377

Phone

(912) 331-0846

Fax

(912) 331-0847

NPI assigned

Jan 9, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1932919289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BOWENS MILL RD SW",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333926",
            "telephone_number": "912-331-0846",
            "fax_number": "912-331-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S GRANT ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503377",
            "telephone_number": "912-331-0846",
            "fax_number": "912-331-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "JOHNNA",
        "middle_name": "LEE",
        "credential": "SLP-CF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET004170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J.H. Harvey Co., LLC (Harveys Supemarket Pharmacy #2332)
• Eugene Hooks Jackson, MD
• Bahar Jalalian
• Neddie Nicole Jenkins
• Edd C Jones III, MD
• Kids Health
• Chelsie Nicole King
• Sandra Larkin, CCC-SLP
• Larry E Forth O D P C (Colony Optical)
• Samantha Leyse

• Speech-Language Pathologist in Fitzgerald, GA
• Providers in Fitzgerald, 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 Jan 9, 2025; 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.