Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447623756 Individual Practitioner Female Practitioner

Shamiqua Johnson , SLP

Speech-Language Pathologist • Roswell, GA

Professional Overview & Biography Verified Profile Summary

Shamiqua Johnson, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Roswell, GA. Practice services are available at 500 SUN VALLEY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Sun Valley Dr

Roswell, GA 300761482

Telephone 3474001772
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Roswell, GA

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

Practicing in Roswell, GA (4796 Statewide)

Telehealth Adoption Rate
1.0% 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: 2022-09-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP008964

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.

Secondary Practice Locations

290 Highway 314, Suite B

Fayetteville, GA 302147813

Phone: 4049947727

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Thomas Geckler , PA-C

Physician Assistant

NPI 1073572954

Physician Assistant (Certified)

Robert Barner

Chiropractor - Rehabilitation

NPI 1265866438
NPI 1659104917

Board Certified Behavior Analyst

NPI 1679953269

AP, MDFROMCHINA

Michael Carrico , MA

Counselor - Mental Health

NPI 1790039626

Master of Arts

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 16, 2022

Registered at 500 SUN VALLEY DR, ROSWELL, GA 300761482 (Tel: 3474001772)

📍
Updated Business Mailing Address September 16, 2022

Registered at 5756 GRANDE RIVER RD, ATLANTA, GA 303499140 (Tel: 3474001772)

NPI Profile Active May 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2016

Registered at 290 HIGHWAY 314, SUITE B, FAYETTEVILLE, GA 302147813 (Tel: 4049947727)

📍
Updated Business Mailing Address May 18, 2016

Registered at 269 HIGHWAY 138 SW APT 1406, RIVERDALE, GA 302744066 (Tel: 3474001772)

👤
Provider Name / Credentials Updated May 18, 2016

Recorded as SHAMIQUA JOHNSON, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2016

Speech-Language Pathologist (License #SLP008964 in GA)

🟢
Initial NPI Registration & Enumeration November 09, 2015

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: 1447623756
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2015
Last Update: September 16, 2022
Sole Proprietor: Yes

Mailing Address

5756 Grande River Rd

Atlanta, GA 303499140

Phone: 3474001772

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.