Speech Teachers of North Georgia LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SPEECH TEACHERS OF NORTH GEORGIA LLC

Practice address

225 Creekstone RDG Ste 25
Woodstock, GA 30188-3744

Phone

(404) 939-5976

Fax

(404) 920-3496

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Lakeisha Jackson

Title

Owner

Phone

(404) 939-5976

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1972099737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 NOAH DR STE 113-374",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301438705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CREEKSTONE RDG STE 25",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883744",
            "telephone_number": "404-939-5976",
            "fax_number": "404-920-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH TEACHERS OF NORTH GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-10-24",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-939-5976"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Eye Associates
• Southern Molecular Imaging, LLC
• Danielle Rousseau Southern
• Amanda Bostock Sowisdral, PA-C
• Allison Spargo, PH.D, LPC, NCC
• Sherrie Delaine Sperling, LMSW
• Marjanka Spies, LPC
• Kevin T Spillane, DMD
• Spine & Sport Physical Therapy L P
• Spine & Sport Physical Therapy LP

• Rehabilitation Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Rehabilitation Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.