Organization Active NPI

Gifted Speech Therapy Services, Inc

  • Speech-Language Pathologist
  • McDonough, GA
National Provider Identifier
1992504617
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GIFTED SPEECH THERAPY SERVICES, INC
Practice address
2566 Highway 42 N
McDonough, GA 30253-4740
Phone
(678) 782-3200
Fax
(678) 338-8431
NPI assigned
Mar 13, 2025
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mrs. Jennifer Danice RobertsNPI 1649684416
Title
Speech Language Pathologist
Phone
(678) 502-0521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2566 Highway 42 N
McDonough, GA 30253-4740

Mailing address

2566 Highway 42 N
McDonough, GA 30253-4740
Phone (678) 782-3200

National Provider Directory

National Provider Directory

Locations

2566 Highway 42 N
McDonough, GA 30253
Phone (770) 914-7003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1992504617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 HIGHWAY 42 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534740",
            "telephone_number": "678-782-3200",
            "fax_number": "678-338-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HIGHWAY 42 N",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534740",
            "telephone_number": "678-782-3200",
            "fax_number": "678-338-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED SPEECH THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-13",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DANICE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "678-502-0521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.