Active NPI
Alicia M Greenway-Jones, CCC SLP
- Speech-Language Pathologist
- Loganville, GA
National Provider Identifier
1942372503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP003283
- Practice address
- 311 Cooper Rd
Loganville, GA 30052-4976 - Phone
- (678) 205-5437
- Fax
- (678) 377-7950
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 | SLP003283 | GA | Primary |
Addresses
Primary practice location
311 Cooper Rd
Loganville, GA 30052-4976
Mailing address
311 Cooper Rd
Loganville, GA 30052-4976
Phone (678) 205-5437
Other names 1
- Alicia M Greenway
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP003283 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidsplay Therapy Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Loganville, GA
- NPI 1619054319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1942372503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 COOPER RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300524976",
"telephone_number": "678-205-5437",
"fax_number": "678-377-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 COOPER RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300524976",
"telephone_number": "678-205-5437",
"fax_number": "678-377-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWAY-JONES",
"first_name": "ALICIA",
"middle_name": "M",
"credential": "CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP003283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "GREENWAY",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.