Deeper Roots Speech Therapy, Llc in Johns Creek, GA - Medicare Speech-Language Pathologist Provider

Deeper Roots Speech Therapy, Llc is a medicare enrolled "Speech-language Pathologist" provider in Johns Creek, Georgia. Their current practice location is 10510 Colony Glen Dr, Johns Creek, Georgia. You can reach out to their office (for appointments etc.) via phone at (601) 654-4912.

Deeper Roots Speech Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Deeper Roots Speech Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1760139562.

Contact Information

	Deeper Roots Speech Therapy, Llc
	10510 Colony Glen Dr, Johns Creek, GA 30022-5791
	(601) 654-4912
	(470) 260-3110

Map and Direction

Healthcare Provider's Profile

Full Name	Deeper Roots Speech Therapy, Llc
Type	Facility
Speciality	Speech-language Pathologist
Location	10510 Colony Glen Dr, Johns Creek, Georgia
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760139562
Provider Enumeration Date: 03/02/2022
Last Update Date: 05/13/2026

Medicare PECOS Information:

PECOS PAC ID: 7113394651
Enrollment ID: O20221209000763

Medical Identifiers

Medical identifiers for Deeper Roots Speech Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760139562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Deeper Roots Speech Therapy, Llc acts as a billing entity for following providers:

Provider Name	Megan Renee Kelly
Provider Type	Practitioner - Qualified Speech Language Pathologist
Provider Identifiers	NPI Number: 1992313530 PECOS PAC ID: 3678942836 Enrollment ID: I20221209000704

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deeper Roots Speech Therapy, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Deeper Roots Speech Therapy, Llc 10510 Colony Glen Dr, Johns Creek, GA 30022-5791 Ph: (601) 654-4912	Deeper Roots Speech Therapy, Llc 10510 Colony Glen Dr, Johns Creek, GA 30022-5791 Ph: (601) 654-4912

Reviews and Comments

Speech-Language Pathologist in Johns Creek, GA

Speech Therapy Telepractice, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 470 Crepe Myrtle Ter, Johns Creek, GA 30005 Phone: 678-456-5513
Megan Elizabeth Cronic, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Fairford Ln, Johns Creek, GA 30097 Phone: 678-316-8640
Alexandria Cerione, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5805 State Bridge Rd, Johns Creek, GA 30097 Phone: 404-509-6303
Jill Widem, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 775 Ellsborough Ct, Johns Creek, GA 30005 Phone: 404-518-0944
Melissa Drane, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11330 Lakefield Dr, Bldg. Two, Suite 200, Johns Creek, GA 30097 Phone: 678-699-5558
Niva M. Falk, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 520 Devonhall Ct, Johns Creek, GA 30097 Phone: 407-488-0741
Mrs. Kirsten Coffey Clarke, MS, CCC-SLP Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 9087 Tuckerbrook Ln, Johns Creek, GA 30022 Phone: 828-850-3518

Deeper Roots Speech Therapy, Llc - Medicare Speech-Language Pathologist in Johns Creek, GA