Individual provider Active NPI

Alicia M Greenway-Jones, CCC SLP

  • Speech-Language Pathologist
  • Loganville, GA
National Provider Identifier
1942372503
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP003283 Issued in GA
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
SLP003283GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.