Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720901234 Individual Practitioner Female Practitioner

Amanda Leigh Mizenis , MCD, CCC-SLP

Speech-Language Pathologist • Athens, GA

Professional Overview & Biography Verified Profile Summary

Amanda Mizenis, MCD, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Athens, GA. Practice services are available at 1630 NEW KINGS BRIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1630 New Kings Bridge Rd

Athens, GA 306073921

Telephone 7065438798

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
73 Specialists

Practicing in Athens, GA (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP004596

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Michelle Klaw

Speech-Language Pathologist

NPI 1821911223

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 01, 2026

NPI status registered as active in NPPES database

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Updated Practice Location August 01, 2026

Registered at 1630 NEW KINGS BRIDGE RD, ATHENS, GA 306073921 (Tel: 7065438798)

📍
Updated Business Mailing Address August 01, 2026

Registered at 61 ROOSEVELT CT, JEFFERSON, GA 305497105

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Provider Name / Credentials Updated August 01, 2026

Recorded as AMANDA MIZENIS, MCD, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2026

Speech-Language Pathologist (License #SLP004596 in GA)

🟢
Initial NPI Registration & Enumeration August 01, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720901234
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2026
Last Update: August 01, 2026
Sole Proprietor: No

Mailing Address

61 Roosevelt Ct

Jefferson, GA 305497105

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.