P Praxis·MD
● Active Type 1 · Individual

Destiny Lacara MacK

Speech-Language Pathologist·East Point, GA· NPI 1043864432 · Enumerated 2019 · 6 years on NPI
MacK is 1 of 28 speech-language pathologist providers in East Point and 1 of 5327 in Georgia.
NPI age
6 years
Enumerated 2019-07-24
Primary specialty
Speech-Language Pathologist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
1
In the 9% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
3485 N Desert Dr Ste 105
East Point, GA 303445724
📞 6787247033
Mailing address
11009 Southwood Dr
Hampton, GA 302283498
📞 4048312098

Specialties

  • Speech-Language Pathologist Primary
    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...
    GA license #PCET004155 taxonomy 235Z00000X
  • Specialist/Technologist
    Definition to come...
    GA license #SLPA000396 taxonomy 2355S0801X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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