Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922467893 Individual Practitioner Female Practitioner

Mesa Miller , CCC-SLP

Speech-Language Pathologist • Macon, GA

Professional Overview & Biography Verified Profile Summary

Mesa Miller, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Macon, GA. Practice services are available at 4060 KURT DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4060 Kurt Dr

Macon, GA 312045635

Telephone 4787475197

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
73 Specialists

Practicing in Macon, 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: 2026-04-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 28711

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License OK 5621

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License FL SA15263

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License GA SLP009162

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
020571900 (FL)

Secondary Practice Locations

2401 Nw 23rd St Ste 2d

Oklahoma City, OK 731072420

Phone: 4053553239

602 Vonderburg Dr, Suite 201

Brandon, FL 335115900

Phone: 8136531149

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location April 29, 2026

Registered at 4060 KURT DR, MACON, GA 312045635 (Tel: 4787475197)

📍
Updated Business Mailing Address April 29, 2026

Registered at 4060 KURT DR, MACON, GA 312045635 (Tel: 4787475197)

📍
Updated Practice Location July 20, 2021

Registered at 2401 NW 23RD ST STE 2D, OKLAHOMA CITY, OK 731072420 (Tel: 4053553239)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Speech-Language Pathologist (License #5621 in OK)

NPI Profile Active April 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2017

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

📍
Updated Business Mailing Address April 25, 2017

Registered at 602 VONDERBURG DR, SUITE 201, BRANDON, FL 335115900 (Tel: 8136531149)

👤
Provider Name / Credentials Updated April 25, 2017

Recorded as MESA MILLER, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Speech-Language Pathologist (License #SA15263 in FL)

NPI Profile Active February 19, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 19, 2016

Registered at 110 WOODFIELD DR, MACON, GA 312105625 (Tel: 4784757988)

📍
Updated Business Mailing Address February 19, 2016

Registered at 110 WOODFIELD DR, MACON, GA 312105625 (Tel: 4784757988)

👤
Provider Name / Credentials Updated February 19, 2016

Recorded as MESA MILLER, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2016

Speech-Language Pathologist (License #SLP009162 in GA)

🟢
Initial NPI Registration & Enumeration February 19, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922467893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2016
Last Update: April 29, 2026
Sole Proprietor: Yes

Mailing Address

4060 Kurt Dr

Macon, GA 312045635

Phone: 4787475197

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.