Individual provider Active NPI

Nancy Gunn Berryhill, CCC-SLP

  • Speech-Language Pathologist
  • Evans, GA
National Provider Identifier
1982918207
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007050 Issued in GA
Practice address
601 N Belair SQ Ste 19
Evans, GA 30809-4324
Phone
(706) 364-1486
Fax
(706) 364-1487
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 SLP007050 GA Primary

Addresses

Primary practice location

601 N Belair SQ Ste 19
Evans, GA 30809-4324

Mailing address

601 N Belair SQ Ste 19
Evans, GA 30809-4324
Phone (706) 364-1486

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
SLP007050GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1982918207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N BELAIR SQ STE 19",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094324",
            "telephone_number": "706-364-1486",
            "fax_number": "706-364-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BELAIR SQ STE 19",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094324",
            "telephone_number": "706-364-1486",
            "fax_number": "706-364-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYHILL",
        "first_name": "NANCY",
        "middle_name": "GUNN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 28, 2010; 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.