Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124379144 Individual Practitioner Male Practitioner

Keith Eldon Bullock , MS, CCC, SLP

Speech-Language Pathologist • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Keith Bullock, MS, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Atlanta, GA. Practice services are available at 1835 SAVOY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1835 Savoy Dr
Suite 100

Atlanta, GA 303411072

Telephone 6782989484
Fax 6788264033
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
523 Specialists

Practicing in Atlanta, GA (4796 Statewide)

Telehealth Adoption Rate
1.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP007934

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

26 Associated Practitioners
Alexandra Flanick , PCE-SLP

Speech-Language Pathologist

NPI 1003215708

PCESLP

Marco Coelho , OTR, L

Occupational Therapist

NPI 1093144461

Occupational Therapist Registered, L

Nora Munagian

Physical Therapist

NPI 1235684465
Irina Dressler , PTA

Physical Therapy Assistant

NPI 1245608900

Physical Therapist Assistant

Anne Mcpherson

Speech-Language Pathologist

NPI 1255851614
Cindy Williams , PT

Physical Therapist

NPI 1306198718

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2012

Registered at 1835 SAVOY DR, SUITE 100, ATLANTA, GA 303411072 (Tel: 6782989484)

📍
Updated Business Mailing Address November 13, 2012

Registered at 1835 SAVOY DR, SUITE 100, ATLANTA, GA 303411072 (Tel: 6782989484)

👤
Provider Name / Credentials Updated November 13, 2012

Recorded as KEITH BULLOCK, M.S., CCC/ SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2012

Speech-Language Pathologist (License #SLP007934 in GA)

🟢
Initial NPI Registration & Enumeration October 01, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124379144
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2012
Last Update: November 13, 2012
Sole Proprietor: Yes

Mailing Address

1835 Savoy Dr, Suite 100

Atlanta, GA 303411072

Phone: 6782989484

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.