NPI age
5 years
Enumerated 2020-10-22
● Active Type 2 · Organization
Martin Medical Slp Llc
Martin Medical Slp Llc is 1 of 5327 speech-language pathologist organizations in Georgia.
Primary specialty
Speech-Language Pathologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
Speech Language Pathologist
Last NPPES update
2020-10-22
Source: monthly bulk 2026-05
How this organization compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
5 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-10Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
103 Due West Pass
Dallas, GA 301572545
Mailing address
103 Due West Pass
Dallas, GA 301572545
Authorized official
Charlene Samone Martin, M.S. CCC-SLP
Speech Language Pathologist
📞 4045567053
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Charlene Martin, M.S. CCC-SLP Speech-Language Pathologist NPI 1417565532
Specialties
-
Speech-Language Pathologist PrimaryThe 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 10005249 | NATIONAL AFFILIATION |
| 01 (GA) | 1417565532 | INDIVIDUAL NPI |
| 01 (GA) | SLP007542 | STATE LICENSURE |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.