PRIMARY PATHWAYS, LLC (NPI# 1649536640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649536640 |
| Entity Type | Organization |
| Organization Name | PRIMARY PATHWAYS, LLC |
| Other Organization Name | PRIMARY PATHWAYS SPEECH & LANGUAGE SERVICES, LLC |
| Practice Address |
1258 Concord Rd Se Ste 104 Smyrna GA 30080-4302 |
| Mailing Address |
3904 N Druid Hills Rd # 214 Decatur GA 30033-3105 |
| Practice Telephone | 7705005508 |
| Practice Fax Number | 4045974050 |
| Mailing Telephone | 7705005508 |
| Mailing Fax Number | 4045974050 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | JACQUELINE D MURRY (AGENT) |
| Authorized Official Telephone | 7705005508 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP005791 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 674689092D | 05 |
| Other Name | Type Code |
|---|---|
| Primary Pathways Speech & Language Services, LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528485455 | Primary Pathways, LLC | Speech-Language Pathologist | 2385 Lawrenceville Hwy Ste B-2, Decatur, GA 30033-3168 | 2014-03-28 |
| Street Address |
1258 CONCORD RD SE STE 104 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1609481993 | Valeria Gary | Speech-Language Pathologist | 5200 Laurel Bridge Ct Se, Smyrna, GA 30082-4827 | 2020-09-13 |
| 1548824816 | Kristen M Menapace | Speech-Language Pathologist | 703 Country Park Dr Se, Smyrna, GA 30080-8221 | 2019-04-23 |
| 1225593072 | Laura Porto | Speech-Language Pathologist | 605 Glendale Pl Se, Smyrna, GA 30080-1835 | 2019-02-06 |
| 1366993073 | Megan Morrow | Speech-Language Pathologist | 3905 Cherrydale Ln Se, Smyrna, GA 30082-3311 | 2016-10-18 |
| 1710352059 | Krsiten Schneider | Speech-Language Pathologist | 5075 Fairmont Rd Se, Smyrna, GA 30082-5112 | 2015-12-12 |
| 1518210210 | Kelly L Walsh | Speech-Language Pathologist | 4810 Ivy Ridge Dr Se, Unit 306, Smyrna, GA 30080-6660 | 2012-10-18 |
| 1609145960 | Stephanie V Coleman | Speech-Language Pathologist | 3606 Locklyn Ln Se, Smyrna, GA 30080-2395 | 2011-12-15 |
| 1356620066 | Misty Vanlandingham Fountain | Speech-Language Pathologist | 1685 Harlington Rd, Smyrna, GA 30082-5052 | 2011-08-11 |
| 1821395120 | Tazmerai Quesinberry | Speech-Language Pathologist | 901 Woodlands Dr Se, Smyrna, GA 30080-2483 | 2011-02-22 |
| 1144524240 | Kawaii S Ball | Speech-Language Pathologist | 438 Cumberland Sq Se, Smyrna, GA 30080-7758 | 2011-01-04 |
| Find all providers in SMYRNA | ||||
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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.