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Deactivated NPI 1154567758 Deactivated / Inactive NPI Female Practitioner

Michele Greene , SLP

Speech-Language Pathologist • Tucker, 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, Michele Greene has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2009
NPI Deactivation Date August 02, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Michele Greene, SLP was a registered Speech-Language Pathologist practicing in Tucker, GA. Throughout an active medical career spanning 12 years, Michele Greene provided care at the practice location at 3760 LAVISTA RD until profile deactivation on 2021-08-02.

Practice Location & Contact Primary Location

Practice Address

3760 Lavista Rd
Suite 102

Tucker, GA 300845615

Telephone 4042725253
Fax 4042725253
Associated Practice Facility / Clinic
🏢 Metro Therapy Providers, Inc Facility NPI 1548461486

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tucker, GA

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

Practicing in Tucker, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP005204

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

22 Associated Practitioners
Vanessa Saenz , PT

Physical Therapist

NPI 1104087758

Physical Therapist

Jurine Hatten , PT

Physical Therapist

NPI 1174688154

Physical Therapist

Karen Bennett , PT

Physical Therapist

NPI 1245395359

Physical Therapist

Belinda Weir , MA CCC-SLP

Speech-Language Pathologist

NPI 1245429323

MACCCSLP

Carla Long , SLP

Speech-Language Pathologist

NPI 1255497012

Speech-Language Pathologist

Leigh Choate Grossman , SLP

Speech-Language Pathologist

NPI 1265675342

Speech-Language Pathologist

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 August 02, 2021

Record deactivated on August 02, 2021

NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 20, 2015

Registered at 3760 LAVISTA RD, SUITE 102, TUCKER, GA 300845615 (Tel: 4042725253)

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Updated Business Mailing Address May 20, 2015

Registered at 3760 LAVISTA RD, SUITE 102, TUCKER, GA 300845615 (Tel: 4042725253)

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Provider Name / Credentials Updated May 20, 2015

Recorded as MICHELE GREENE, SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Speech-Language Pathologist (License #SLP005204 in GA)

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Initial NPI Registration & Enumeration January 02, 2009

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: 1154567758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2009
Last Update: May 20, 2015
Deactivation Date: August 02, 2021

Mailing Address

3760 Lavista Rd, Suite 102

Tucker, GA 300845615

Phone: 4042725253

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.