P Praxis·MD
● Active Type 2 · Organization

Samuel B. Elliott

Early Intervention Provider Agency·Atlanta, GA· NPI 1639354962 · Enumerated 2008 · 18 years on NPI
Samuel B. Elliott is 1 of 126 early intervention provider agency organizations in Georgia.
NPI age
18 years
Enumerated 2008-01-06
Primary specialty
Early Intervention Provider Agency
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Elliott
Speech/language Pathologist
Last NPPES update
2013-05-31
Source: monthly bulk 2026-05

How this organization compares

Across 126 active early intervention provider agency providers in Georgia.

NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
434 Marietta St Nw, Suite 104
Atlanta, GA 303131737
📞 4048352781fax 4048352781
Mailing address
434 Marietta St Nw, Suite 104
Atlanta, GA 303131737
📞 4048352781fax 4048352781

Authorized official

Samuel B Elliott, M.ED.,CCC-SLP
Speech/language Pathologist
📞 4048352781

Specialties

  • Early Intervention Provider Agency Primary
    Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with...
    GA license #SLP001044 taxonomy 252Y00000X

Identifiers

TypeValueNotes
01 SLP001044 GA. LICENSE
05 (GA) 000697111J

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Speech Services For Children
    Type code 3 recorded 2013-05-31

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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