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Lisa Black

Speech-Language Pathologist β€’ Suwanee, GA

Active NPI 1801255161 Individual Practitioner Female Practitioner
Practice location in NPPES

5400 Laurel Springs Pkwy, Bldg 400 #404
Suwanee, GA 300246056

Call 6784739954 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

5400 Laurel Springs Pkwy
Bldg 400 #404

Suwanee, GA 300246056

Telephone 6784739954
Fax 6789310105
Organization at the Same NPPES Address or Phone
Atlanta Psychiatric Institute Facility NPI 1659313195

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

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 Suwanee and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Suwanee

1.4% of these 71 clinicians have the CMS telehealth indicator.

1.4% of these 71 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: 2020-02-10
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA 14052341

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

Clinicians Sharing This Practice Address or Phone

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

4 listed
Dr. Jagan Chilakamarri , MD

Psychiatry & Neurology - Psychiatry

NPI 1528000197

Doctor of Medicine (M.D.)

NPI 1770789257

Doctor of Chiropractic

David Mesnick , PT

Physical Therapist

NPI 1972631919

Physical Therapist

NPI 1700922747

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Business Mailing Address February 10, 2020

Registered at 2355 ASHTON DR, ROSWELL, GA 300764233 (Tel: 8584723022)

πŸ‘€
Provider Name / Credentials Updated February 10, 2020

Recorded as LISA BLACK

βœ…
NPI Profile Active February 15, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 15, 2016

Registered at 5400 LAUREL SPRINGS PKWY, BLDG 400 #404, SUWANEE, GA 300246056 (Tel: 6784739954)

πŸ“
Business Mailing Address (Initial Record) February 15, 2016

Registered at 77 E ANDREWS DR NW, APT # 3235, ATLANTA, GA 303051370 (Tel: 8584723022)

πŸ‘€
Provider Name / Credentials (Initial Record) February 15, 2016

Recorded as LISA SCORDALAKIS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2016

Speech-Language Pathologist (license number reported to NPPES: GA 14052341)

🟒
Initial NPI Registration & Enumeration February 15, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801255161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2016
Last Update: February 10, 2020
Sole Proprietor: No

Mailing Address

2355 Ashton Dr

Roswell, GA 300764233

Phone: 8584723022

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.