Dvora Gottlieb, MMS, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP001158 Issued in GA

Practice address

1206 E 66TH St
Savannah, GA 31404-5704

Phone

(912) 355-4601

Fax

(912) 355-7935

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Emory University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Savannah Speech and Hearing Center IncGroup PAC ID 7517012404, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Savannah Speech and Hearing Center Inc

  • Audiologist
  • Savannah, GA
  • NPI 1184765729

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Savannah Speech and Hearing Center

  • Speech-Language Pathologist
  • Savannah, GA
  • NPI 1326100637
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992881726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STUART ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055624",
            "telephone_number": "912-352-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314045704",
            "telephone_number": "912-355-4601",
            "fax_number": "912-355-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "DVORA",
        "credential": "MMS, CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00892515A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makena Gormley, PT, DPT
• Alexandra Victoriayevgeniyevna Gorokhova
• Katherine Gosden, FNP
• Latroya Goslee, RBT
• Jamie Bridges Goss, SURGICAL FIRST ASSIS
• Jerald M Gottlieb, PH.D
• John Conrad Gouse, M.D.
• Deepak Goyal, MD
• William Michael Grabowski, PA-C
• Grace Autism Services Inc

• Speech-Language Pathologist in Savannah, GA
• Providers in Savannah, 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 Jul 8, 2007; 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.