MEDICARE: EMORY HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1114885431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMORY HEALTHCARE

Provider Business Mailing Address
First Line	:	550 PEACHTREE ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 PEACHTREE ST NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-2212
Country	:	US
Telephone Number	:	203-738-8177
Fax Number	:

Authorized Official
Title or Position	:	CF-SLP
Name	:	MELANIE GRASSO
Credential	:	MS
Telephone Number	:	203-738-8177

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “EMORY HEALTHCARE ” Practice Location

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