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SHANNON D BRAGG MA CCC-SLP
NPI 1063063592
Speech-Language Pathologist in Woodstock, GA

Active since September 25, 2019
1551 PINE CREEK WAY, WOODSTOCK, GA 30188(770) 871-6338 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Sep 25, 2019 (2 updates tracked since 2019).

About Shannon D Bragg Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON D BRAGG MA CCC-SLP (NPI 1063063592) is a healthcare organization registered as a speech-language pathologist in Woodstock, Georgia and active in the NPI registry since September 2019. The organization maintains a secondary practice location in Woodstock and lists Shannon D. Bragg, Speech Language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1063063592
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSHANNON D BRAGG MA CCC-SLP
Location Address1551 PINE CREEK WAYWoodstock, GA 30188-4355
Mailing Address1003 Weatherstone Pkwy Ste 340Woodstock, GA 30188-4496 · (770) 871-6338 · Fax (470) 394-4844
Phone(770) 871-6338
Organization SubpartNo
Authorized OfficialShannon D. BraggSpeech Language Pathologist · (770) 871-6338
Enumeration DateSeptember 25, 2019
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1063063592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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 geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1551 PINE CREEK WAY, Woodstock, GA 30188
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Secondary Practice Location 1

Location 11003 Weatherstone Pkwy Ste 340Woodstock, GA 30188-4496 · Phone (770) 871-6338 · Fax (470) 394-4844

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON BRAGG
Speech-Language Pathologist
1551 PINE CREEK WAY
WOODSTOCK, GA 30188
Cherokee County (770) 871-6338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon D Bragg Ma Ccc-Slp's NPI number?

The NPI number for Shannon D Bragg Ma Ccc-Slp is 1063063592. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Shannon D Bragg Ma Ccc-Slp located?

Shannon D Bragg Ma Ccc-Slp is located at 1551 Pine Creek Way, Woodstock, GA 30188. The listed phone number is (770) 871-6338.

What is Shannon D Bragg Ma Ccc-Slp's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Shannon D Bragg Ma Ccc-Slp was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.