Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stephanie Dixon , MS CCC-SLP

Speech-Language Pathologist β€’ Tucker, GA

Active NPI 1457830291 Individual Practitioner Female Practitioner
Practice location in NPPES

3140 Shadow Walk Ln
Tucker, GA 300842141

Call 7708154013 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

3140 Shadow Walk Ln

Tucker, GA 300842141

Telephone 7708154013

NPI first issued

2018

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tucker and Georgia

61 active clinicians are listed under Speech-Language Pathologist with a practice address in Tucker, GA (4,832 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tucker

0% of these 61 clinicians have the CMS telehealth indicator.

0% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2025-07-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA 011150

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 SA17687

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 SC 6612

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

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 July 21, 2025

Registered at 3140 SHADOW WALK LN, TUCKER, GA 300842141 (Tel: 7708154013)

πŸ“
Updated Business Mailing Address July 21, 2025

Registered at 3140 SHADOW WALK LN, TUCKER, GA 300842141 (Tel: 7708154013)

πŸ‘€
Provider Name / Credentials Updated July 21, 2025

Recorded as STEPHANIE DIXON, M.S. CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2025

Speech-Language Pathologist (license number reported to NPPES: FL SA17687)

βœ…
NPI Profile Active August 13, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 13, 2018

Registered at 1075 BYPASS 25 NE, GREENWOOD, SC 29649 (Tel: 8642277246)

πŸ“
Business Mailing Address (Initial Record) August 13, 2018

Registered at 1075 BYPASS 25 NE, GREENWOOD, SC 29649

πŸ‘€
Provider Name / Credentials (Initial Record) August 13, 2018

Recorded as STEPHANIE DIXON, CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2018

Speech-Language Pathologist (license number reported to NPPES: SC 6612)

🟒
Initial NPI Registration & Enumeration August 13, 2018

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1457830291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2018
Last Update: July 21, 2025
Sole Proprietor: No

Mailing Address

3140 Shadow Walk Ln

Tucker, GA 300842141

Phone: 7708154013

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.