LEIGH BLACKBURN (NPI# 1477617132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477617132 |
| Entity Type | Individual |
| Full Name | LEIGH BLACKBURN |
| Other Name | LEIGH ANNE BLACKBURN |
| Credential | M.ED., CCC-SLP |
| Practice Address |
601 N Belair Sq Ste 19 Evans GA 30809-4324 |
| Mailing Address |
3752 Roscommon S Martinez GA 30907-4742 |
| Practice Telephone | 7063641486 |
| Practice Fax Number | 7063641487 |
| Mailing Telephone | 7063641486 |
| Mailing Fax Number | 7063641487 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006107 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 238975068A | 05 |
| Street Address |
601 N BELAIR SQ STE 19 |
| City | EVANS |
| State | GA |
| Zip Code | 30809-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992000590 | Christy Canady, LLC | Speech-Language Pathologist | 601 N Belair Sq Ste 19, Suite 19, Evans, GA 30809-4324 | 2011-01-13 |
| 1982918207 | Nancy Gunn Berryhill | Speech-Language Pathologist | 601 N Belair Sq Ste 19, Evans, GA 30809-4324 | 2010-07-28 |
| 1508096637 | Saralyn Gamble | Speech-Language Pathologist | 601 N Belair Sq Ste 19, Evans, GA 30809-4324 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326674060 | Dominion Behavioral Health Services LLC | Psychiatric Unit | 817 Prairie Lane, Evans, GEORGIA 30809 | 2020-03-13 |
| 1710478102 | Georgia Dental Professionals, PC | Dentist | 5131 Washington Rd, Evans, GA 30809 | 2018-05-22 |
| 1649770678 | Angel Legare | Physician Assistant | 404 Town Park Blvd Ste 101, Evans, GA 30809 | 2018-02-16 |
| 1952829541 | Felicia Evette Rhodes | Home Health Aide | 715 Jones Creek, Evans, GA 30809 | 2017-09-02 |
| 1659733582 | Patricia J. Stewart Lpc, LLC | Counselor | 465 N. Belair Rd. Ste 2d, Evans, GA 30809 | 2016-03-21 |
| 1114306727 | John Mccaskey | Family Medicine | 465 N Belair Rd Ste 1b, Evans, GA 30809 | 2015-05-28 |
| 1053702878 | Jennifer Wahl | Assistant Behavior Analyst | 1135 Waltons Pass, Evans, GA 30809 | 2015-02-16 |
| 1609298777 | Custom Pharmacy, Inc | Pharmacy | 1202 Town Park Lane, Suite 200, Evans, GA 30809 | 2014-01-09 |
| 1457797938 | Perfect Health Always On Call, LLC | Non-Pharmacy Dispensing Site | 4244 Washington Rd, Evans, GA 30809 | 2013-05-11 |
| 1417207119 | Tommy Battle | Respiratory Therapist, Registered | 101 Pond View, Evans, GA 30809 | 2012-09-11 |
| Find all providers in zip 30809 | ||||
| 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 |
|---|---|---|---|---|
| 1942726096 | Sarah Daniels Lambert | Speech-Language Pathologist | 727 Rocky Branch Ln, Evans, GA 30809-5603 | 2017-08-21 |
| 1972051951 | Logan Weeks | Speech-Language Pathologist | 536 Grand Slam Dr Ste 2, Evans, GA 30809-8045 | 2016-09-19 |
| 1841647195 | Rachel D Lane | Speech-Language Pathologist | 4152 Dewaal St, Evans, GA 30809-8409 | 2016-05-17 |
| 1013388503 | Amanda Lynn Hughes | Speech-Language Pathologist | 989 Napiers Post Dr, Evans, GA 30809-6429 | 2015-10-09 |
| 1669803508 | Monica Parsons I | Speech-Language Pathologist | 1387 Aylesbury Dr, Evans, GA 30809-5286 | 2013-12-03 |
| 1528367448 | Latray Walker | Speech-Language Pathologist | 715 Adcock Ct, Evans, GA 30809-5104 | 2011-03-17 |
| 1265753362 | Tanya R Kobek | Speech-Language Pathologist | 568 Blue Ridge Dr, Evans, GA 30809-3604 | 2010-06-13 |
| 1093974123 | Carla M Pennington | Speech-Language Pathologist | 434 Long Needle Cir, Evans, GA 30809-5170 | 2008-06-04 |
| 1780759522 | Christina Bell Canady | Speech-Language Pathologist | 601 N Belair Sq, Suite 19, Evans, GA 30809-4321 | 2006-11-21 |
| 1104999325 | Kristin Marie Couture | Speech-Language Pathologist | 4405 Evans To Locks Rd Ste C, Evans, GA 30809-3603 | 2006-11-16 |
| Find all providers in EVANS | ||||
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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.