P Praxis·MD
● Active Type 1 · Individual

Shannon Ellis Hanes, M.S. CCC-SLP

Speech-Language Pathologist·Duluth, GA· NPI 1811201106 · Enumerated 2010 · 15 years on NPI
Hanes is 1 of 70 speech-language pathologist providers in Duluth and 1 of 5327 in Georgia.
NPI age
15 years
Enumerated 2010-07-29
Primary specialty
Speech-Language Pathologist
Plus 1 subspecialty
Licensed in
GA, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
15 years
↑ 5 yr above median (10 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
1626 Paces Commons Dr
Duluth, GA 300961727
📞 0433714064fax 8552328604
Mailing address
1626 Paces Commons Dr
Duluth, GA 300961727
📞 0433714064fax 8552328604

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 #SLP006477TX license #105149 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (TX) 0944746-02
01 0031DG BLUE CROSS BLUE SHIELD
01 74-2745294 TAX ID
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No 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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