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DEEPER ROOTS SPEECH THERAPY, LLC
NPI 1760139562
Speech-Language Pathologist in Johns Creek, GA

Active since March 02, 2022
10510 COLONY GLEN DR, JOHNS CREEK, GA 30022(601) 654-4912(470) 260-3110 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 13, 2026, Mar 2, 2022 (2 updates tracked since 2022).

About Deeper Roots Speech Therapy, Llc NPPES

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

DEEPER ROOTS SPEECH THERAPY, LLC (NPI 1760139562) is a healthcare organization registered as a speech-language pathologist in Johns Creek, Georgia and active in the NPI registry since March 2022. The organization lists Megan Renee Kelly, Owner/speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1760139562
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameDEEPER ROOTS SPEECH THERAPY, LLC
Location Address10510 COLONY GLEN DRJohns Creek, GA 30022-5791
Mailing Address10510 Colony Glen DrJohns Creek, GA 30022-5791 · (601) 654-4912
Phone(601) 654-4912
Fax(470) 260-3110
Organization SubpartNo
Authorized OfficialMegan Renee KellyOwner/speech-language Pathologist · (423) 915-6573
Enumeration DateMarch 2, 2022
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1760139562 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.
10510 COLONY GLEN DR, Johns Creek, GA 30022
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deeper Roots Speech Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deeper Roots Speech Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Megan Kelly, M.S., CCC-SLP
Qualified Speech Language Pathologist
NPI 1992313530
2165 CHATTAHOOCHEE DR
Duluth, GA 30097
(601) 654-4912
✔ Accepts Medicare6.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Deeper Roots Speech Therapy, LLC's NPI number?

The NPI number for Deeper Roots Speech Therapy, LLC is 1760139562. It was assigned to this organization in the NPPES registry on March 2, 2022.

Where is Deeper Roots Speech Therapy, LLC located?

Deeper Roots Speech Therapy, LLC is located at 10510 Colony Glen Dr, Johns Creek, GA 30022. The listed phone number is (601) 654-4912.

What is Deeper Roots Speech Therapy, LLC's specialty?

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

Is Deeper Roots Speech Therapy, LLC enrolled in Medicare?

Yes. Deeper Roots Speech Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deeper Roots Speech Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Speech Language Pathologist) reassigns their Medicare billing to Deeper Roots Speech Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deeper Roots Speech Therapy, LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.