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Mesa Miller , CCC-SLP

Speech-Language Pathologist β€’ Macon, GA

Active NPI 1922467893 Individual Practitioner Female Practitioner
Practice location in NPPES

4060 Kurt Dr
Macon, GA 312045635

Call 4787475197 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

4060 Kurt Dr

Macon, GA 312045635

Telephone 4787475197
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Brandon, FL; Oklahoma City, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

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 Macon and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Macon

0% of these 73 clinicians have the CMS telehealth indicator.

5.5% of these 73 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: 2026-04-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES CA 28711

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 OK 5621

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 FL SA15263

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 GA SLP009162

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
020571900 (FL)

Secondary Practice Locations

2401 Nw 23rd St Ste 2d

Oklahoma City, OK 731072420

Phone: 4053553239

602 Vonderburg Dr, Suite 201

Brandon, FL 335115900

Phone: 8136531149

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Practice Location April 29, 2026

Registered at 4060 KURT DR, MACON, GA 312045635 (Tel: 4787475197)

πŸ“
Updated Business Mailing Address April 29, 2026

Registered at 4060 KURT DR, MACON, GA 312045635 (Tel: 4787475197)

πŸ“
Updated Practice Location July 20, 2021

Registered at 2401 NW 23RD ST STE 2D, OKLAHOMA CITY, OK 731072420 (Tel: 4053553239)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Speech-Language Pathologist (license number reported to NPPES: OK 5621)

βœ…
NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location April 25, 2017

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

πŸ“
Updated Business Mailing Address April 25, 2017

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

πŸ‘€
Provider Name / Credentials Updated April 25, 2017

Recorded as MESA MILLER, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Speech-Language Pathologist (license number reported to NPPES: FL SA15263)

βœ…
NPI Profile Active February 19, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 19, 2016

Registered at 110 WOODFIELD DR, MACON, GA 312105625 (Tel: 4784757988)

πŸ“
Business Mailing Address (Initial Record) February 19, 2016

Registered at 110 WOODFIELD DR, MACON, GA 312105625 (Tel: 4784757988)

πŸ‘€
Provider Name / Credentials (Initial Record) February 19, 2016

Recorded as MESA MILLER, CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2016

Speech-Language Pathologist (license number reported to NPPES: GA SLP009162)

🟒
Initial NPI Registration & Enumeration February 19, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922467893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2016
Last Update: April 29, 2026
Sole Proprietor: Yes

Other Speech-Language Pathologists in Macon

Healthcare providers in Macon

Mailing Address

4060 Kurt Dr

Macon, GA 312045635

Phone: 4787475197

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.