Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417565532 Individual Practitioner Female Practitioner

Charlene Samone Martin , MS CCC-SLP

Speech-Language Pathologist • Dallas, GA

Professional Overview & Biography Verified Profile Summary

Charlene Martin, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Dallas, GA. Practice services are available at 103 DUE WEST PASS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 Due West Pass

Dallas, GA 301572545

Telephone 4045567053
Associated Practice Facility / Clinic
🏢 Martin Medical Slp Llc Facility NPI 1114526811

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dallas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
46 Specialists

Practicing in Dallas, GA (4796 Statewide)

Telehealth Adoption Rate
2.2% 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: 2020-10-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP007542

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Georgia Licensing Entity
SLP007542 (GA)
Commercial Insurance / Payer ID State Licensure Speech Language Pathology
SLP007542 (GA)
Commercial Insurance / Payer ID American Speech And Hearing Association
10005249 (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2020

Registered at 103 DUE WEST PASS, DALLAS, GA 301572545 (Tel: 4045567053)

📍
Updated Business Mailing Address July 15, 2020

Registered at 103 DUE WEST PASS, DALLAS, GA 301572545 (Tel: 4045567053)

👤
Provider Name / Credentials Updated July 15, 2020

Recorded as CHARLENE MARTIN, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2020

Speech-Language Pathologist (License #SLP007542 in GA)

🟢
Initial NPI Registration & Enumeration July 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417565532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2020
Last Update: October 20, 2020
Sole Proprietor: Yes

Mailing Address

103 Due West Pass

Dallas, GA 301572545

Phone: 4045567053

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.