Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DAISHA SHINE OTR
NPI 1447170840
Speech-Language Pathologist in Stone Mountain, GA

Active since July 16, 2026
4798 HAIRSTON CROSSING RD, STONE MOUNTAIN, GA 30083(678) 858-7519 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daisha Shine Otr NPPES

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

DAISHA SHINE OTR (NPI 1447170840) is an individual speech-language pathologist provider in Stone Mountain, Georgia, licensed in Georgia (SLP008356) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1447170840
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDAISHA SHINECredential: OTR
Location Address4798 HAIRSTON CROSSING RDStone Mountain, GA 30083-3464
Mailing Address4798 Hairston Crossing RdStone Mountain, GA 30083-3464
Sole ProprietorYes
Enumeration DateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
NPI 1447170840 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
License Licensed in GA · SLP008356
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.
4798 HAIRSTON CROSSING RD, Stone Mountain, GA 30083

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Speech-Language Pathologist
4798 HAIRSTON CROSSING RD
STONE MOUNTAIN, GA 30083

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 Daisha Shine's NPI number?

The NPI number for Daisha Shine is 1447170840. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Daisha Shine located?

Daisha Shine practices at 4798 Hairston Crossing Rd, Stone Mountain, GA 30083. The listed phone number is (678) 858-7519.

What is Daisha Shine'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 Daisha Shine was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.