Healthcare Provider Details

I. General information

NPI: 1275026023
Provider Name (Legal Business Name): ANNA NICOLE NORTON MA, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date: 11/24/2025
Reactivation Date: 12/10/2025

III. Provider practice location address

1520 CUFTON ROAD NE
ATLANTA GA
30322
US

IV. Provider business mailing address

1520 CUFTON RD NE
ATLANTA GA
30322
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-7980
  • Fax:
Mailing address:
  • Phone: 404-727-7980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN332673
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: