P Praxis·MD
● Active Type 1 · Individual

Charlene Samone Martin, M.S. CCC-SLP

Speech-Language Pathologist·Dallas, GA· NPI 1417565532 · Enumerated 2020 · 5 years on NPI
Martin is 1 of 50 speech-language pathologist providers in Dallas and 1 of 5327 in Georgia.
NPI age
5 years
Enumerated 2020-07-15
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-20
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
5 years
↓ 5 yr below median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-07Enumerated in NPPES
2020 2026

Where they practice

Practice location
103 Due West Pass
Dallas, GA 301572545
📞 4045567053
Mailing address
103 Due West Pass
Dallas, GA 301572545
📞 4045567053

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 #SLP007542 taxonomy 235Z00000X

Identifiers

TypeValueNotes
01 (GA) SLP007542 GEORGIA LICENSING ENTITY
01 (GA) SLP007542 STATE LICENSURE SPEECH LANGUAGE PATHOLOGY
01 (GA) 10005249 AMERICAN SPEECH AND HEARING ASSOCIATION

Practice context

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

Recently enumerated nearby: 1 new speech-language pathologist provider has been added in Dallas 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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