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Deactivated NPI 1922109933 Deactivated / Inactive NPI Female Practitioner

Kam Johnson

Speech-Language Pathologist • Decatur, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kam Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2006
NPI Deactivation Date September 07, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Kam Johnson was a registered Speech-Language Pathologist practicing in Decatur, GA. Throughout an active medical career spanning 12 years, Kam Johnson provided care at the practice location at 1244 CLAIRMONT RD until profile deactivation on 2018-09-07.

Practice Location & Contact Primary Location

Practice Address

1244 Clairmont Rd
Suite 224

Decatur, GA 300301259

Telephone 4047289766
Associated Practice Facility / Clinic
🏢 Ren Massey, Ph.d., Inc. Facility NPI 1790865319

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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

40 Associated Practitioners
Allyson Leseten

Occupational Therapist

NPI 1023119930
Beth Salzman

Physical Therapist

NPI 1023119971
Karen Guerra , SP

Speech-Language Pathologist

NPI 1033234232
Suzanne Mink

Occupational Therapist

NPI 1053412973
Kathy Hill

Speech-Language Pathologist

NPI 1104927193
Kara Jorgensen

Speech-Language Pathologist

NPI 1134220148

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 07, 2018

Record deactivated on September 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1244 CLAIRMONT RD, SUITE 224, DECATUR, GA 300301259 (Tel: 4047289766)

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Updated Business Mailing Address July 08, 2007

Registered at 1630 W PEACHTREE ST NE APT 5, ATLANTA, GA 303092654

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Provider Name / Credentials Updated July 08, 2007

Recorded as KAM JOHNSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist

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Initial NPI Registration & Enumeration September 25, 2006

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: 1922109933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 08, 2007
Deactivation Date: September 07, 2018

Mailing Address

1630 W Peachtree St Ne Apt 5

Atlanta, GA 303092654

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.