Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144056235 Individual Practitioner Female Practitioner

Mallory Nicole Nathan , MS, CCC-SLP

Speech-Language Pathologist • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Mallory Nathan, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Decatur, GA. Practice services are available at 495 WINN WAY STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

495 Winn Way Ste 210

Decatur, GA 300301710

Telephone 7702099826
Associated Practice Facility / Clinic
🏢 Pediaspeech Services, Inc. Facility NPI 1508902446

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
134 Specialists

Practicing in Decatur, GA (4796 Statewide)

Telehealth Adoption Rate
0.7% 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: 2025-09-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP013645

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

16 Associated Practitioners
Kayla Santoro , MCD, CCC-SLP

Speech-Language Pathologist

NPI 1063893840

MCD, Speech-Language Pathologist (Certificate of Clinical Competence)

Jennifer Mccullough , MS, CCC-SLP

Speech-Language Pathologist

NPI 1073683942

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

Jennifer Barnes , MA

Speech-Language Pathologist

NPI 1093019242

Master of Arts

Anne Comerford , MS, CCC-SLP

Speech-Language Pathologist

NPI 1104984863

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

Joanna Leonardo

Speech-Language Pathologist

NPI 1194400903
Stephanie Davis , MS, CCC-SLP

Speech-Language Pathologist

NPI 1225108129

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

8 Historical Events
👤
Provider Name / Credentials Updated September 11, 2025

Recorded as MALLORY NATHAN, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Speech-Language Pathologist (License #SLP013645 in GA)

NPI Profile Active September 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2024

Registered at 495 WINN WAY STE 210, DECATUR, GA 300301710 (Tel: 7702099826)

📍
Updated Business Mailing Address September 13, 2024

Registered at 495 WINN WAY STE 210, DECATUR, GA 300301710 (Tel: 7702099826)

👤
Provider Name / Credentials Updated September 13, 2024

Recorded as MALLORY NATHAN, M.S., CF-SLP

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

Speech-Language Pathologist (License #PCET004136 in GA)

🟢
Initial NPI Registration & Enumeration September 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: 1144056235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2024
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

495 Winn Way Ste 210

Decatur, GA 300301710

Phone: 7702099826

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.