Individual provider Active NPI

Manon M Girard, SLP

  • Speech-Language Pathologist
  • Conyers, GA
National Provider Identifier
1992210314
Registry record updated Jul 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP011551 Issued in GA
Practice address
1000 Waterside Dr SE
Conyers, GA 30013-2952
Phone
(407) 454-4723
NPI assigned
Dec 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP011551 GA Primary
Speech-Language Pathologist 235Z00000X 6680-154 WI
Speech-Language Pathologist 235Z00000X SLP.0005492 CO

Addresses

Primary practice location

1000 Waterside Dr SE
Conyers, GA 30013-2952

Mailing address

1000 Waterside Dr SE
Conyers, GA 30013-2952
Phone (407) 454-4723

Other practice location 1

1820 Main St
Colorado Springs, CO 80911-1152
Phone (719) 391-3000

Other practice location 2

777 Memorial Dr SE Unit 215
Atlanta, GA 30316-1388
Phone (407) 454-4723

Other practice location 3

1637 Athens Hwy Ste B
Grayson, GA 30017-1768
Phone (770) 995-9600

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
SLP.0005492COMDSpeech-Language Pathologist
SLP011551GAMDSpeech-Language Pathologist
6680-154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Receptive Expressions LLC CurrentSince Nov 1, 2023 Accepting new patients
Pediatric Potentials Therapy Speech-Language Assistant Past Accepting new patients
Rightstart Therapy Service, Inc. Speech-Language Pathologist PastSince Jun 1, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1992210314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WATERSIDE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132952",
            "telephone_number": "407-454-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WATERSIDE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132952",
            "telephone_number": "407-454-4723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Main St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809111152",
            "country_code": "US",
            "telephone_number": "719-391-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Memorial Dr SE Unit 215",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303161388",
            "country_code": "US",
            "telephone_number": "407-454-4723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1637 Athens Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "GA",
            "postal_code": "300171768",
            "country_code": "US",
            "telephone_number": "770-995-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "MANON",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011551",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6680-154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.