Jane So Song, M.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006793 Issued in GA

Practice address

3905 Johns Creek CT
Suite 250
Suwanee, GA 30024-1224

Phone

(770) 888-5221

Fax

(770) 623-5544

NPI assigned

Mar 4, 2011

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)

Enrolled

Credentials

Master of Education

Practice roles

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.

• Kids Creek Therapy

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1700983772

  Speech-Language Pathologist

  NPD (past)
• Sundance Rehabilitation Agency LLC

  dba Sundance Georgia Rehabilitation Agency

  • Rehabilitation Clinic/Center
  • Savannah, GA
  • NPI 1376969410
  NPD (past)
• Sundance Rehabilitation Agency, LLC

  • Rehabilitation Clinic/Center
  • Athens, GA
  • NPI 1508281411
  NPD (past)
• Sundance Rehabilitation Agency, LLC

  • Rehabilitation Clinic/Center
  • Johns Creek, GA
  • NPI 1760437743
  NPD (past)

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1952609620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 GADOLINITE TRL",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406179",
            "telephone_number": "404-567-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 JOHNS CREEK CT",
            "address_2": "SUITE 250",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241224",
            "telephone_number": "770-888-5221",
            "fax_number": "770-623-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "JANE",
        "middle_name": "SO",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solutions Surgical Center
• Soma Physio & Rehab Center LLC
• Jane S Son, D.C.
• Jia Son, NP-BC
• Seo Young Young Son, PHARMD
• Christina Dixon Sorensen, PHARMD
• Amparo Gabriela Soto, OT
• South Atlanta Urology & Gynecology Associates PC
• Southeast Services, LLC (Choice Care Health Services)
• Southeastern Eye Associates, LLC

• Speech-Language Pathologist in Suwanee, GA
• Providers in Suwanee, 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 Mar 4, 2011; 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.