MS. CARMEN MELTON DOUGLAS (NPI# 1649419821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649419821 |
| Entity Type | Individual |
| Full Name | MS. CARMEN MELTON DOUGLAS |
| Credential | MED |
| Practice Address |
10354 Shepperton Court Jonesboro GA 30238 |
| Mailing Address |
1415 Highway 85 N # 310-172 Fayetteville GA 30214-7738 |
| Practice Telephone | 4043174140 |
| Practice Fax Number | 7706039072 |
| Mailing Telephone | 4043174140 |
| Mailing Fax Number | 7706039072 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2011-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP005253 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000946558D | 05 |
| Street Address |
10354 SHEPPERTON COURT |
| City | JONESBORO |
| State | GA |
| Zip Code | 30238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366969636 | K&p Gentle Hnads Homecare | Home Health | 772 Pointe South Pkwy, Apt. 501, Jonesboro, GA 30238 | 2017-08-27 |
| 1568991214 | Rehab Medical, Inc | Durable Medical Equipment & Medical Supplies | 8568 Highway 85, Jonesboro, GA 30238 | 2017-06-07 |
| 1821472077 | Surgivue First Assisting | Nurse Practitioner | 5865 Sinclair Way, Jonesboro, GA 30238 | 2015-07-17 |
| 1518384106 | Visions of Life Behavioral Health Services, Incorporated | Counselor | 754 Chapman Street, Jonesboro, GA 30238 | 2014-03-21 |
| 1942560206 | Terri L Lee | Counselor | 7899 Waterwheel Way, Jonesboro, GA 30238 | 2012-05-21 |
| 1265704985 | Visiting Homecare Support Services, Inc. | Home Health | 10886 Tara Village Way, Jonesboro, GA 30238 | 2012-01-27 |
| 1518297175 | Heavenly Assisted Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10555 Aspenwood Ct, Jonesboro, GA 30238 | 2010-01-05 |
| 1205050259 | Caryn Ann Grzesiakowski | Chiropractor | 809 Flint River Road, Suite #4, Jonesboro, GA 30238 | 2007-04-12 |
| 1548325483 | Janet Musser Granski | Social Worker | 110 North Bend Court, Jonesboro, GA 30238 | 2006-12-22 |
| 1205276763 | A2bee Transportation LLC | Private Vehicle | 8964 Habersham Dr, Jonesboro, GA 30238 | 2013-06-28 |
| Find all providers in zip 30238 | ||||
| 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 |
|---|---|---|---|---|
| 1972111698 | Julia Cochran Collins | Speech-Language Pathologist | 8222 Lullwater Ct, Jonesboro, GA 30236-3963 | 2020-07-20 |
| 1669007936 | Amy Lee Lewis | Speech-Language Pathologist | 884 Plymouth Dr, Jonesboro, GA 30236-5587 | 2020-03-07 |
| 1013548700 | Ashley Caitlin Gonzalez | Speech-Language Pathologist | 3215 Springwood Dr, Jonesboro, AR 72404-7750 | 2020-01-31 |
| 1699314989 | Shanon Y Brantley | Speech-Language Pathologist | 505 Kelsey Dr, Jonesboro, AR 72404-8561 | 2020-01-03 |
| 1316425788 | Kathryn Webb | Speech-Language Pathologist | 2131 Valley View Dr, Jonesboro, AR 72404-9031 | 2018-07-29 |
| 1578091567 | Fatimah O Anjorin | Speech-Language Pathologist | 2102 Battlecreek Village Dr, Jonesboro, GA 30236-8535 | 2017-06-02 |
| 1770029019 | Kids Place Learning Center | Speech-Language Pathologist | 1823 Grant Ave, Suite D and E, Jonesboro, AR 72401-6155 | 2017-01-10 |
| 1760927198 | Amber L. Lindley | Speech-Language Pathologist | 1407 Marketplace Dr Ste 8&9, Jonesboro, AR 72401-5227 | 2016-12-20 |
| 1528422060 | Cooper Educational Therapy Services | Speech-Language Pathologist | 966 County Road 476, Jonesboro, AR 72404-7663 | 2016-04-11 |
| 1770943672 | Byrd Speech Therapy Providers,llc | Speech-Language Pathologist | 1407 Marketplace Dr, Office # 7, Jonesboro, AR 72401-5227 | 2016-03-04 |
| Find all providers in JONESBORO | ||||
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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.