Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396569687 Individual Practitioner Female Practitioner

Chyan A. Black

Speech-Language Pathologist • Dacula, GA

Professional Overview & Biography Verified Profile Summary

Chyan Black is a registered healthcare professional specializing in Speech-Language Pathologist in Dacula, GA. Practice services are available at 3615 BRASELTON HWY STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3615 Braselton Hwy Ste 103

Dacula, GA 300195907

Telephone 6783779634
Fax 6783779609
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dacula, GA

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

Practicing in Dacula, 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: 2024-11-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA PCET004159

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

28 Associated Practitioners
Sydni Kearse , OTR, L

Occupational Therapist

NPI 1003503509

Occupational Therapist Registered, L

Lucy Dexter , SLP

Speech-Language Pathologist

NPI 1033006432

Speech-Language Pathologist

Heidi Clayton , SLP

Speech-Language Pathologist

NPI 1033375969

Speech-Language Pathologist

Katherine Gentzel , CCC-SLP

Speech-Language Pathologist

NPI 1033446588

Speech-Language Pathologist (Certificate of Clinical Competence)

Adelyn Simmons , SLP

Speech-Language Pathologist

NPI 1083187066

Speech-Language Pathologist

Stephanie Perez , MS, CCC-SLP

Speech-Language Pathologist

NPI 1104275635

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2024

Registered at 3615 BRASELTON HWY STE 103, DACULA, GA 300195907 (Tel: 6783779634)

📍
Updated Business Mailing Address November 13, 2024

Registered at 3615 BRASELTON HWY STE 103, DACULA, GA 300195907 (Tel: 6783779634)

👤
Provider Name / Credentials Updated November 13, 2024

Recorded as CHYAN BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2024

Speech-Language Pathologist (License #PCET004159 in GA)

🟢
Initial NPI Registration & Enumeration November 13, 2024

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: 1396569687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2024
Last Update: November 13, 2024
Sole Proprietor: No

Mailing Address

3615 Braselton Hwy Ste 103

Dacula, GA 300195907

Phone: 6783779634

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.