Healthcare Provider Details

I. General information

NPI: 1902161870
Provider Name (Legal Business Name): TAMESHIA SCHAMARA ATKINSON M.ED. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2012
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 MUSCADINE DR
AUGUSTA GA
30909-1707
US

IV. Provider business mailing address

2695 MUSCADINE DR
AUGUSTA GA
30909-1707
US

V. Phone/Fax

Practice location:
  • Phone: 770-906-6743
  • Fax: 706-363-1665
Mailing address:
  • Phone: 770-906-6743
  • Fax: 706-363-1665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP007689
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: