Active NPI
Logan Weeks
- Speech-Language Pathologist
- Evans, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP010017
- Practice address
- 536 Grand Slam Dr Ste 2
Evans, GA 30809-8045 - Phone
- (706) 854-8434
- NPI assigned
- Sep 19, 2016
- Last updated
- Feb 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6125 | SC | |
| Speech-Language Pathologist | 235Z00000X | SLP010017 | GA | Primary |
Addresses
Primary practice location
536 Grand Slam Dr Ste 2
Evans, GA 30809-8045
Mailing address
536 Grand Slam Dr Ste 2
Evans, GA 30809-8045
Phone (706) 854-8434
Other practice location 1
1446 Harper St
Augusta, GA 30912-8045
Phone (706) 721-5437
Other practice location 2
6140 Woodside Executive Ct
Aiken, SC 29803-3820
Phone (803) 642-0700
Other names 1
- Logan Tingler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Center, Inc | Current | Accepting new patients | |
| Au Medical Center, Inc. | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Pediatric Pals LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Pediatric Therapy of Aiken, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Pediatric Therapy of Aiken, LLC | Past | Accepting new patients |
Locations
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785
1446 Harper St
Augusta, GA 30912
Phone (706) 721-5223
1367 W Martintown Rd
Ste 1
North Augusta, SC 29860
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
- Speech-Language Pathologist
- North Augusta, SC
- NPI 1902674252
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
dba AU Medical Center Employee Pharmacy
- Community/Retail Pharmacy
- Augusta, GA
- NPI 1487901476
-
dba Pediatric Therapy Associates, LLC
- Occupational Therapist
- Aiken, SC
- NPI 1164661609
Speech-Language Pathologist
-
- Durable Medical Equipment & Medical Supplies
- Aiken, SC
- NPI 1588002026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1972051951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 GRAND SLAM DR STE 2",
"city": "EVANS",
"state": "GA",
"postal_code": "308098045",
"telephone_number": "706-854-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 GRAND SLAM DR STE 2",
"city": "EVANS",
"state": "GA",
"postal_code": "308098045",
"telephone_number": "706-854-8434"
}
],
"practiceLocations": [
{
"address_1": "1446 Harper St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309128045",
"country_code": "US",
"telephone_number": "706-721-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6140 Woodside Executive Ct",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298033820",
"country_code": "US",
"telephone_number": "803-642-0700",
"fax_number": "803-642-0588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEEKS",
"first_name": "LOGAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6125",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP010017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOGAN",
"last_name": "TINGLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.