SAMUEL B. ELLIOTT


Address: 434 Marietta St Nw, Suite 104, Atlanta, GA 30313-1737
Phone: 4048352781

SAMUEL B. ELLIOTT (NPI# 1639354962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639354962
Entity Type Organization
Organization Name SAMUEL B. ELLIOTT
Other Organization Name SPEECH SERVICES FOR CHILDREN
Practice Address 434 Marietta St Nw
Suite 104
Atlanta
GA 30313-1737
Practice Telephone 4048352781
Practice Fax Number 4048352781
Mailing Telephone 4048352781
Mailing Fax Number 4048352781
Enumeration Date 2008-01-06
Last Update Date 2013-05-31
Authorized Official Name MR. SAMUEL B ELLIOTT (SPEECH/LANGUAGE PATHOLOGIST)
Authorized Official Telephone 4048352781
Authorized Official Credential M.ED.,CCC-SLP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 252Y00000X Early Intervention Provider Agency SLP001044 GA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
GA. LICENSE SLP001044 01
GA 000697111J 05

Other Provider/Organization Names

Other Name Type Code
Speech Services For Children Doing Business As Name - Organization

Office Location

Street Address 434 MARIETTA ST NW
SUITE 104
City ATLANTA
State GA
Zip Code 30313-1737

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275067894 Brittni Fleming Counselor 250 Park Avenue West, Atlanta, GA 30313 2017-04-20
1417163916 Kelly K Hudson Nurse Practitioner 239 Ivan Allen Jr. Boulevard, Atlanta, GA 30313 2007-05-14
1134158413 Francine Blonnetta Ricketts Physician Assistant 430 Centennial Olympic Park Drive, Atlanta, GA 30313 2006-06-30
1053348540 Deborah Robinson Maclean Specialist/Technologist Healthworks/the Coca-cola Company, One Coca-cola Plaza - Hmc, Atlanta, GA 30313 2006-06-28
1851345904 William C Warren Iv Pediatrics 239 Ivan Allen Jr Blvd, Atlanta, GA 30313 2006-05-22
1790222834 Courtney Dean Specialist/Technologist 150 Bobby Dodd Way, Atlanta, GA 30313 2017-01-27
1932503711 Emory Employer Based Health Services Clinic/Center 1 Coca Cola Plz Nw, Atlanta, GA 30313 2014-10-22
1124342019 Professional Speech & Language Therapy, Inc Clinic/Center 210 Walker St Sw Unit 5, Atlanta, GA 30313-1213 2010-03-21
1285145789 Express At Northside LLC Pharmacy 296 Northside Dr Sw, Atlanta, GA 30313-1228 2017-10-24
1730155144 Javonya Donell Clemons Speech-Language Pathologist 210 Walker Street, Loft 5, Atlanta, GA 30313-1257 2006-02-24
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Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932684271 Valesco LLC Early Intervention Provider Agency 3575 Piedmont Rd Ne Ste 200, Atlanta, GA 30305-1623 2018-10-02
1578098471 Vida-flo Early Intervention Provider Agency 2221 Peachtree Rd Ne Ste Q, Atlanta, GA 30309-1106 2017-04-28
1447707104 Joslynn Cooper Early Intervention Provider Agency 2698 N Martin St, Atlanta, GA 30344-6900 2016-09-09
1508248618 Speechcare Pediatrics, LLC Early Intervention Provider Agency 893 Piedmont Ave Ne, Suite 11, Atlanta, GA 30309-4174 2015-06-25
1275878365 Georgia Department of Public Health Early Intervention Provider Agency 2 Peachtree St Nw Fl 15, Atlanta, GA 30303-3142 2012-11-30
1477812600 Dynamic Speech & Language Services, Inc Early Intervention Provider Agency 3695f Cascade Rd Sw # 2292, Atlanta, GA 30331-2105 2012-05-08
1487925871 The Amit Program Early Intervention Provider Agency 6255 Barfield Rd Ne Ste 100, Atlanta, GA 30328-4332 2012-01-18
1679864433 Everlasting Touch Therapy Services Early Intervention Provider Agency 3079 Colonial Way Apt A, Atlanta, GA 30341-5327 2011-04-28
1992007918 Colorblind, Inc Early Intervention Provider Agency 7078 Stonington Dr Ne, Atlanta, GA 30328-1962 2010-11-23
1376167841 Discovery Therapy Network Early Intervention Provider Agency 100 Hartsfield Center Pkwy Ste 500, Atlanta, GA 30354-1377 2020-06-01
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Competitor

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City ATLANTA
Zip Code 30313

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Dataset Information

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.

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