Megan Renee Kelly, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011861 Issued in GA

Practice address

2165 Chattahoochee Dr
Duluth, GA 30097-7941

Phone

(601) 654-4912

NPI assigned

Jul 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Megan Renee Ledford Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Deeper Roots Speech Therapy, LLC

  • Speech-Language Pathologist
  • Johns Creek, GA
  • NPI 1760139562
  Medicare reassignment NPD Authorized official
• Serenity4Life, LLC

  • Speech-Language Pathologist
  • Ellenwood, GA
  • NPI 1205485463
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1992313530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 CHATTAHOOCHEE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977941",
            "telephone_number": "423-915-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 CHATTAHOOCHEE DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977941",
            "telephone_number": "601-654-4912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4992 Bristol Industrial Way",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305181742",
            "country_code": "US",
            "telephone_number": "770-904-6419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 Deer Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Ellenwood",
            "state": "GA",
            "postal_code": "302941168",
            "country_code": "US",
            "telephone_number": "404-391-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300468707",
            "country_code": "US",
            "telephone_number": "678-312-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MEGAN",
        "middle_name": "RENEE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003132",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LEDFORD",
            "middle_name": "RENEE",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelley Kawamoto, BS, DC
• Clarence Cornell Kegler II, DDS
• Barbara Joan Kell, R.N.C.
• Tammy Thompson Keller, M.A., CADC-II
• Alexa Kelly
• Natalie Kelly
• Kelsey Faith Kempner
• Barry Kennedy, D.D.S.
• Philip R Kennedy, MD
• Grace Alexandra Kenney, PT, DPT

• Speech-Language Pathologist in Duluth, GA
• Providers in Duluth, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.