COMMUNITY KIDS PEDIATRIC THERAPY SERVICES (NPI# 1972932028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972932028 |
| Entity Type | Organization |
| Organization Name | COMMUNITY KIDS PEDIATRIC THERAPY SERVICES |
| Other Organization Name | COMMUNITY SPEECH THERAPY |
| Practice Address |
3229 Highway 34 E Ste 103 Newnan GA 30265-2196 |
| Mailing Address |
90 Glenda Trce Ste F #414 Newnan GA 30265-3868 |
| Practice Telephone | 7705020303 |
| Mailing Telephone | 7705020303 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | MRS. BROOKE LARAYNE BARNES (SPEECH THERAPIST/OWNER) |
| Authorized Official Telephone | 7705020303 |
| Authorized Official Credential | MS CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006883 | GA | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Community Speech Therapy | Other Name - Individual/Organization |
| Street Address |
3229 HIGHWAY 34 E STE 103 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-2196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| 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 |
|---|---|---|---|---|
| 1720649908 | Ashley Nicole Pappas | Speech-Language Pathologist | 1780 Smokey Rd, Newnan, GA 30263-3086 | 2019-06-27 |
| 1811489164 | Megan Prevatte | Speech-Language Pathologist | 394 Stillwood Dr, Newnan, GA 30265-6225 | 2018-06-02 |
| 1235626813 | Lindsey Carole Curtis | Speech-Language Pathologist | 2959 Sharpsburg Mccullum Rd Ste C, Newnan, GA 30265-2297 | 2018-04-18 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1396141883 | Jennifer Muniz X | Speech-Language Pathologist | 113 Lakeshore Pkwy, Newnan, GA 30263-2286 | 2014-11-10 |
| 1740698075 | Colleen Williams | Speech-Language Pathologist | 3759 Lower Fayetteville Rd, Newnan, GA 30265-1716 | 2014-07-30 |
| 1720491574 | Lauren Seeley | Speech-Language Pathologist | 260 Peninsula Cir, Newnan, GA 30263-7035 | 2014-06-10 |
| 1174877682 | Deecie Mann Wilbanks | Speech-Language Pathologist | 416 Lake Forest Dr, Newnan, GA 30265-3373 | 2012-11-06 |
| 1548518822 | Anna Rebekah Gasses | Speech-Language Pathologist | 2959 Sharpsburg Mccullum Rd Unit C, Newnan, GA 30265-2299 | 2012-08-17 |
| 1679734024 | Brooke Larayne Barnes | Speech-Language Pathologist | 39 Rollingbrook Vista, Newnan, GA 30265 | 2008-06-18 |
| Find all providers in NEWNAN | ||||
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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.