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Shannon Ellis Hanes , MS CCC-SLP

Speech-Language Pathologist β€’ Duluth, GA

Active NPI 1811201106 Individual Practitioner Female Practitioner
Practice location in NPPES

1626 Paces Commons Dr
Duluth, GA 300961727

Call 0433714064 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1626 Paces Commons Dr

Duluth, GA 300961727

Telephone 0433714064
Fax 8552328604

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Duluth and Georgia

63 active clinicians are listed under Speech-Language Pathologist with a practice address in Duluth, GA (4,745 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

0% of these 63 clinicians have the CMS telehealth indicator.

3.2% of these 63 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-03
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA SLP006477

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TX 105149

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0944746-02 (TX)
Other Identifier Blue Cross Blue Shield
0031DG
Other Identifier Tax Id
74-2745294

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
Makeiba Allen , MHS, OTR, L

Occupational Therapist

NPI 1457969214

MHS, Occupational Therapist Registered, L

Dr. Randall Barr , DPT, MS

Physical Therapist

NPI 1164452751

Doctor of Physical Therapy, Master of Science

Aaron Breese , PT

Physical Therapist

NPI 1225161458

Physical Therapist

Lauren Brooks , OTR, L

Occupational Therapist

NPI 1457813826

Occupational Therapist Registered, L

Olwen Brooks , OTR, L

Occupational Therapist

NPI 1992981229

Occupational Therapist Registered, L

Tambra Chambers , MPT

Physical Therapist

NPI 1386270478

Master of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 03, 2020

Registered at 1626 PACES COMMONS DR, DULUTH, GA 300961727 (Tel: 0433714064)

πŸ“
Updated Business Mailing Address September 03, 2020

Registered at 1626 PACES COMMONS DR, DULUTH, GA 300961727 (Tel: 0433714064)

πŸ‘€
Provider Name / Credentials Updated September 03, 2020

Recorded as SHANNON HANES, M.S. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2020

Speech-Language Pathologist (license number reported to NPPES: GA SLP006477)

βœ…
NPI Profile Active July 29, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 29, 2010

Registered at 1208 IH 35 N STE Q, ROUND ROCK, TX 786814204 (Tel: 5123107665)

πŸ“
Business Mailing Address (Initial Record) July 29, 2010

Registered at 1208 IH 35 N STE Q, ROUND ROCK, TX 786814204 (Tel: 5123107665)

πŸ‘€
Provider Name / Credentials (Initial Record) July 29, 2010

Recorded as SHANNON HANES, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2010

Speech-Language Pathologist (license number reported to NPPES: TX 105149)

🟒
Initial NPI Registration & Enumeration July 29, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811201106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2010
Last Update: September 03, 2020
Sole Proprietor: No

Mailing Address

1626 Paces Commons Dr

Duluth, GA 300961727

Phone: 0433714064

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.