Active NPI
Susan Marshall Lunsford, SLP
- Speech-Language Pathologist
- Brunswick, GA
National Provider Identifier
1972644656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP002026
- Practice address
- 2415 Parkwood Dr
Brunswick, GA 31520-4722 - Phone
- (912) 466-2664
- Fax
- (912) 466-1213
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP002026 | GA | Primary |
Addresses
Primary practice location
2415 Parkwood Dr
Brunswick, GA 31520-4722
Mailing address
160 South St
Waverly, GA 31565-2425
Phone (912) 264-6165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP002026 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972644656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 SOUTH ST",
"city": "WAVERLY",
"state": "GA",
"postal_code": "315652425",
"telephone_number": "912-264-6165",
"fax_number": "912-466-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 PARKWOOD DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204722",
"telephone_number": "912-466-2664",
"fax_number": "912-466-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNSFORD",
"first_name": "SUSAN",
"middle_name": "MARSHALL",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP002026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.