P Praxis·MD
● Active Type 1 · Individual

Keanna Nelson, CCC-SLP

Speech-Language Pathologist·Fayetteville, GA· NPI 1386635191 · Enumerated 2005 · 20 years on NPI
Nelson is 1 of 76 speech-language pathologist providers in Fayetteville and 1 of 5327 in Georgia.
NPI age
20 years
Enumerated 2005-11-01
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
175 Bradford Sq Ste A
Fayetteville, GA 30215
📞 6784387168fax 4703778097
Mailing address
210 McIntosh Place Dr
Fayetteville, GA 302147384
📞 6784851470fax 4703778097

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 #SLP006202 taxonomy 235Z00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 2 new speech-language pathologist providers have been added in Fayetteville in the last 180 days. See all →
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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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