Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336266261 Individual Practitioner Female Practitioner

Shannon Susanne Gonzalez , MA, CCC-SLP

Speech-Language Pathologist • Forsyth, GA

Professional Overview & Biography Verified Profile Summary

Shannon Gonzalez, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Forsyth, GA. Practice services are available at 215 CRESCENT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

215 Crescent Dr

Forsyth, GA 310295466

Telephone 4782134604
Fax 4789932035
Associated Practice Facility / Clinic
🏢 Speechworks 4 Kids, Llc Facility NPI 1790176865

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Forsyth, GA

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

Practicing in Forsyth, 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: 2022-10-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP005082

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

Medicaid State Provider ID
000913844E (GA)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 05, 2022

Registered at 215 CRESCENT DR, FORSYTH, GA 310295466 (Tel: 4782134604)

📍
Updated Business Mailing Address October 05, 2022

Registered at 215 CRESCENT DR, FORSYTH, GA 310295466 (Tel: 4782134604)

📍
Updated Practice Location September 06, 2019

Registered at 215 CRESENT DR, FORSYTH, GA 310295466 (Tel: 4782134604)

📍
Updated Business Mailing Address September 06, 2019

Registered at 215 CRESENT DR, FORSYTH, GA 310295466 (Tel: 4782134604)

NPI Profile Active February 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2015

Registered at 5243 RIVERSIDE DR, 2203, MACON, GA 312108803 (Tel: 4782134604)

📍
Updated Business Mailing Address February 10, 2015

Registered at 5243 RIVERSIDE DR, 2203, MACON, GA 312108803 (Tel: 4782134604)

👤
Provider Name / Credentials Updated February 10, 2015

Recorded as SHANNON GONZALEZ, M.A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2015

Speech-Language Pathologist (License #SLP005082 in GA)

🟢
Initial NPI Registration & Enumeration March 24, 2007

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: 1336266261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2007
Last Update: October 05, 2022
Sole Proprietor: Yes

Mailing Address

215 Crescent Dr

Forsyth, GA 310295466

Phone: 4782134604

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.