Dianna L Maynard, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6275 Issued in GA

Practice address

1175 Oglethorpe Ave Ste B
Athens, GA 30606-2129

Phone

(706) 372-4349

NPI assigned

Jul 31, 2006

Last updated

Dec 13, 2024By the provider in NPPES

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abc Pediatric Therapy Partners, Inc.

  • Speech-Language Pathologist
  • Athens, GA
  • NPI 1699178566
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1952317190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CARPENTERS CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013102",
            "telephone_number": "346-324-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 OGLETHORPE AVE STE B",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062129",
            "telephone_number": "706-372-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "DIANNA",
        "middle_name": "L",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "6275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870796487A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hudson May, LMSW
• Katherine May, LCSW
• Ronald Wayne May
• Twanya J May, PAC
• Sara Maya
• William Christopher Mayo, LCSW
• Kennedy Briana Mays
• Taylor Mays, LMSW
• Mary Meghan McAfee, DNP
• Alan McArthur, LCSW

• Speech-Language Pathologist in Athens, GA
• Providers in Athens, 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 Dec 13, 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.