Individual provider Active NPI

Paige Dewitt, MSCCCSLP

  • Speech-Language Pathologist
  • Decatur, GA
National Provider Identifier
1972848257
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP004720 Issued in GA
Practice address
2408 Sagamore Hills Dr
Decatur, GA 30033-1219
Phone
(404) 664-1743
NPI assigned
Nov 28, 2012
Last updated
Nov 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP004720 GA Primary

Addresses

Primary practice location

2408 Sagamore Hills Dr
Decatur, GA 30033-1219

Mailing address

2408 Sagamore Hills Dr
Decatur, GA 30033-1219
Phone (404) 664-1743

Other names 1

  • Ms. Paige Payne Other name

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

LicenseStateTypeSpecialty
SLP004720GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1972848257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 SAGAMORE HILLS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331219",
            "telephone_number": "404-664-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 SAGAMORE HILLS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331219",
            "telephone_number": "404-664-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "MSCCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "PAYNE",
            "prefix": "MS.",
            "credential": "MSCCCSLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.