P Praxis·MD
● Active Type 1 · Individual

DR. Mesa Miller, CCC-SLP

Speech-Language Pathologist·MacOn, GA· NPI 1922467893 · Enumerated 2016 · 10 years on NPI
Miller is 1 of 83 speech-language pathologist providers in MacOn and 1 of 5327 in Georgia.
NPI age
10 years
Enumerated 2016-02-19
Primary specialty
Speech-Language Pathologist
Plus 3 subspecialties
Licensed in
CA, OK, FL, GA
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-29
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
10 years
≈ at median (10 yr)
State licenses
4 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-02Enumerated in NPPES
2016 2026

Where they practice

Practice location
4060 Kurt Dr
MacOn, GA 312045635
📞 4787475197
Mailing address
4060 Kurt Dr
MacOn, GA 312045635
📞 4787475197

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2401 Nw 23rd St Ste 2d
Oklahoma City, OK 731072420
📞 4053553239
Location 3
602 Vonderburg Dr, Suite 201
Brandon, FL 335115900
📞 8136531149fax 8136546644

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...
    CA license #28711OK license #5621FL license #SA15263GA license #SLP009162 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (FL) 020571900
Multi-state credentialing: Licensed in 4 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. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new speech-language pathologist providers have been added in MacOn 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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