Suzanne Ivie Ellis
NPI 1194565978ActiveIndividual· Speech-Language Pathologist· Smyrna, GA
Speech-Language Pathologist with Legacy Healthcare Services Inc and 1 other group, practicing in Smyrna, Georgia. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1194565978 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 29, 2024 |
| Last updated in NPPES | May 29, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (GA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical groups
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
- Reliant Senior Living LLCCarmichael, CA · 122 clinicians
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All 70 speech-language pathologists in Smyrna · All speech-language pathologists in Georgia