Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245982289 Individual Practitioner Female Practitioner

Destiny Miller Mangan , MS CCC-SLP

Speech-Language Pathologist • Clayton, GA

Professional Overview & Biography Verified Profile Summary

Destiny Mangan, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Clayton, GA. Practice services are available at 165 RIDGECREST CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

165 Ridgecrest Cir

Clayton, GA 305254110

Telephone 6783575849
Associated Practice Facility / Clinic
🏢 Danny Stevens Hammons Facility NPI 1730169004

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Clayton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Clayton, 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: 2024-01-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP012443

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

State License GA PCET003509

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

6 Associated Practitioners
Ashley Miller , OTR, L

Occupational Therapist

NPI 1346648474

Occupational Therapist Registered, L

Jamie Nash , MS, OTR, L

Occupational Therapist - Pediatrics

NPI 1407311822

Master of Science, Occupational Therapist Registered, L

Dr. Kaitlyn Howell , PT, DPT

Physical Therapist - Pediatrics

NPI 1508602285

Physical Therapist, Doctor of Physical Therapy

Miranda Hunnicutt

Speech-Language Pathologist

NPI 1760960710
Jennifer Deslich , OT

Occupational Therapist

NPI 1790107993

Occupational Therapist

Rachel Toscano , MS CCC-SLP

Speech-Language Pathologist

NPI 1962066316

MSCCCSLP

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated January 01, 2024

Recorded as DESTINY MANGAN, M.S. CCC-SLP

NPI Profile Active January 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2022

Registered at 165 RIDGECREST CIR, CLAYTON, GA 305254110 (Tel: 6783575849)

📍
Updated Business Mailing Address January 20, 2022

Registered at 165 RIDGECREST CIR, CLAYTON, GA 305254110 (Tel: 6783575849)

👤
Provider Name / Credentials Updated January 20, 2022

Recorded as DESTINY MILLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2022

Speech-Language Pathologist (License #PCET003509 in GA)

🟢
Initial NPI Registration & Enumeration January 20, 2022

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: 1245982289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2022
Last Update: January 01, 2024
Sole Proprietor: Yes

Mailing Address

165 Ridgecrest Cir

Clayton, GA 305254110

Phone: 6783575849

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.