P Praxis·MD
● Active Type 1 · Individual

Stephanie Black, SLP

Specialist/Technologist·Byron, GA· NPI 1659707990 · Enumerated 2013 · 12 years on NPI
Black is 1 of 1 specialist/technologist providers in Byron and 1 of 13 in Georgia.
NPI age
12 years
Enumerated 2013-09-18
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-09-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 13 active specialist/technologist providers in Georgia.

NPI age
12 years
↑ 2 yr above median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
100 Hamilton Pointe Dr, 115 & 120
Byron, GA 31008
📞 4785381436fax 4784746601
Mailing address
100 Hamilton Pointe Dr, Suite 115 & 120
Byron, GA 31008
📞 4785381436fax 4784746601

Specialties

  • Specialist/Technologist Primary
    General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
    GA license #SLP12069775 taxonomy 235500000X

Practice context

Part of a multi-provider practice. 5 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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