Tasia Carroll

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005699 Issued in GA

Practice address

115 Mountain Laurel Way
Fayetteville, GA 30215-7743

Phone

(770) 856-9403

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1942682976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143762",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302146537",
            "telephone_number": "770-856-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MOUNTAIN LAUREL WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302157743",
            "telephone_number": "770-856-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Carpenter, M.S., BCBA
• Daniel Joseph Carr, MD
• Roger Carr, M.D.
• Leonel Elias Carrasco Abinader, M.D
• Rivers Carroll, PHARMD
• Carter Treatment Center (Imagine Wellness Center)
• Lorrin Elizabeth Mortimer Carter
• Marlo Lee Carter, MD
• Jasmine Cason, PT
• Cat's Pajamas, LTD

• Speech-Language Pathologist in Fayetteville, GA
• Providers in Fayetteville, 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 Jun 26, 2015; 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.