PHAIDRA C. BOYD (NPI# 1427606532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427606532 |
| Entity Type | Individual |
| Full Name | PHAIDRA C. BOYD |
| Practice Address |
2025 Cutleaf Creek Rd Grayson GA 30017-4166 |
| Practice Telephone | 6789200507 |
| Mailing Telephone | 6789200507 |
| Enumeration Date | 2019-09-01 |
| Last Update Date | 2019-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
2025 CUTLEAF CREEK RD |
| City | GRAYSON |
| State | GA |
| Zip Code | 30017-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787342 | Greater Mpower Tutoring | Behavioral Analyst | 2025 Cutleaf Creek Rd, Grayson, GA 30017-4166 | 2019-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588140859 | Butterfly Development, LLC | Community Based Residential Treatment Facility, Mental Illness | 1911 Grayson Highway, Suite 8-242, Grayson, GA 30017 | 2018-07-19 |
| 1811417132 | Yva Gauthier | Nurse Practitioner | 1620 Terry Mill Lane, Grayson, GA 30017 | 2017-06-27 |
| 1023341518 | Christine R Petro, Psy.d., LLC | Psychologist | 69 Grayson New Hope Rd, Grayson, GA 30017 | 2009-09-15 |
| 1902097579 | Zain Odeh Dabbas | Dentist | 2594 Loganviile Hwy, # 102, Grayson, GA 30017 | 2007-08-07 |
| 1619078276 | Primary Foot & Ankle Care | Podiatrist | 862 Amber Hill Ct, Grayson, GA 30017 | 2006-09-26 |
| 1700878170 | James Michael Long | Dentist | 2518 Loganville Hwy, Grayson, GA 30017 | 2005-08-22 |
| 1629556717 | Mason Moriah Earp | Physical Therapist | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-08-01 |
| 1811482201 | Matthew Ntomoo Lo | Physical Therapy Assistant | 2065 Grayson Hwy Ste B, Grayson, GA 30017 | 2018-06-27 |
| 1144460668 | Alisa M Nelson-wade | Dentist | 2219 Loganville Hwy, Hwy 20, Grayson, GA 30017 | 2009-02-24 |
| 1003321662 | Grace Care Ambulance Transport, LLC | Ambulance | 516 Sosebee Farm Rd Unit 531, Grayson, GA 30017-0118 | 2017-12-05 |
| Find all providers in zip 30017 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974545 | Jazmin Hudgins | Speech-Language Pathologist | 2696 Madison Mae Ln, Grayson, GA 30017-7819 | 2020-05-22 |
| 1548776230 | Able Too Therapy Services Inc | Speech-Language Pathologist | 1663 Sweet Branch Trl, Grayson, GA 30017-4127 | 2017-12-18 |
| 1043751993 | Jean Winston | Speech-Language Pathologist | 2270 Loganville Hwy, Grayson, GA 30017-1623 | 2017-03-12 |
| 1790938397 | Rebecca Lea Copeland | Speech-Language Pathologist | 556 Pennington Ln, Grayson, KY 41143-8529 | 2008-10-28 |
| 1427268242 | Heather Jean Goodman | Speech-Language Pathologist | 226 Duckeye Rd, Grayson, KY 41143-7891 | 2007-05-23 |
| 1699846766 | Demetria L Phillips | Speech-Language Pathologist | 2623 Whispering Pines Dr, Grayson, GA 30017-2859 | 2006-11-12 |
| 1104804574 | Laticia Peck | Speech-Language Pathologist | 1165 Pine Lake Dr, Grayson, GA 30017-7926 | 2006-01-05 |
| 1164902037 | Tracie Raich | Speech-Language Pathologist | 361 Windburn Ln, Grayson, KY 41143-8372 | 2018-08-20 |
| 1932618832 | Erin Gilbert | Speech-Language Pathologist | 361 Windburn Ln, Grayson, KY 41143-8372 | 2017-09-22 |
| 1194034306 | Ginny Sublett | Speech-Language Pathologist | 361 Windburn Ln, Grayson, KY 41143-8372 | 2010-10-05 |
| Find all providers in GRAYSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.