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Active NPI 1386635191 Individual Practitioner Female Practitioner

Keanna Nelson , CCC-SLP

Speech-Language Pathologist • Fayetteville, GA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Keanna Nelson, CCC-SLP is a certified Speech-Language Pathologist practicing in Fayetteville, GA. With approximately 22 years of clinical experience since completing medical education in 2004, Keanna Nelson delivers high-quality medical care to the local community at 175 BRADFORD SQ STE A.

Keanna Nelson does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

175 Bradford Sq Ste A

Fayetteville, GA 30215

Telephone 6784387168
Fax 4703778097
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fayetteville, GA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +6.2 yrs vs City Avg
City Avg: 15.8 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
58 Specialists

Practicing in Fayetteville, GA (4796 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nelson (22 Years) 22 Yrs
Fayetteville Specialty Average (15.8 Years) 15.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-05-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP006202

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 11, 2018

Registered at 175 BRADFORD SQ STE A, FAYETTEVILLE, GA 30215 (Tel: 6784387168)

📍
Updated Business Mailing Address December 11, 2018

Registered at 210 MCINTOSH PLACE DR, FAYETTEVILLE, GA 302147384 (Tel: 6784851470)

NPI Profile Active January 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2012

Registered at 1835 SAVOY DR, SUITE 100, ATLANTA, GA 303411072 (Tel: 6782989484)

📍
Updated Business Mailing Address January 30, 2012

Registered at 621 PAR THREE LN, HAMPTON, GA 302286053 (Tel: 6784851470)

👤
Provider Name / Credentials Updated January 30, 2012

Recorded as KEANNA NELSON, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2012

Speech-Language Pathologist (License #SLP006202 in GA)

🟢
Initial NPI Registration & Enumeration November 01, 2005

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: 1386635191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2005
Last Update: May 16, 2025
Sole Proprietor: Yes

Mailing Address

210 Mcintosh Place Dr

Fayetteville, GA 302147384

Phone: 6784851470

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.