| Octavia Elizabeth Cherry, SLP | |
|
707 Park Ave Ne, Atlanta, GA 30326-3401 | |
| (414) 213-6601 | |
| Not Available |
| Full Name | Octavia Elizabeth Cherry |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 6 Years |
| Location | 707 Park Ave Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881284685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 242005894 (Illinois) | Secondary |
| 235Z00000X | Speech-language Pathologist | SLP011776 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Transperfect Health Corp | 3173982287 | 32 |
| Legacy Healthcare Services Inc | 2163339722 | 3772 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Onr National Speech Pathology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972965952 PECOS PAC ID: 2668463522 Enrollment ID: O20210929000868 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Octavia Elizabeth Cherry, SLP 707 Park Ave Ne, Atlanta, GA 30326-3401 Ph: (414) 213-6601 | Octavia Elizabeth Cherry, SLP 707 Park Ave Ne, Atlanta, GA 30326-3401 Ph: (414) 213-6601 |
Alexandra Flanick, PCE-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1835 Savoy Dr, Suite 100, Atlanta, GA 30341 Phone: 678-298-9484 Fax: 678-826-4033 | |
Mrs. Maria Thereza Barbosa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1890 Harts Mill Rd Ne, Atlanta, GA 30341 Phone: 561-901-6310 | |
Amanda Zito Griffin, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5825 Glenridge Dr Ne, Bldg 1, Suite 133, Atlanta, GA 30328 Phone: 404-513-3810 Fax: 404-902-5440 | |
Rachel Lynn Nagawiecki, Speech-Language Pathologist Medicare: May Accept Medicare Assignments Practice Location: 1462 Clifton Rd Ne Ste 280, Atlanta, GA 30322 Phone: 404-727-7825 | |
Erin E Gustafson, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2174 N Druid Hills Rd Ne, Atlanta, GA 30329 Phone: 404-785-7022 | |
Ms. Anna Gardiner Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1872 Colt Dr # 2, Atlanta, GA 30341 Phone: 404-825-0409 | |
Pamela Nitto Kurkoski, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6111 Peachtree Dunwoody Rd Ste 203, Atlanta, GA 30328 Phone: 404-609-4949 |