Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Kong

Individual provider Speech-Language Pathologist · NPI 1316492051

Nicole Kong is a Qualified Speech Language Pathologist in Duluth, Georgia. Qualified in 2008, 18 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment.

Years since qualifying
18
In the registry since
2016
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Practice location Address checks out

4500 Satellite Blvd Ste 2250
Duluth, GA 30096-5037
Phone: (800) 381-2195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1316492051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 23, 2016
Last updated in NPPESAugust 23, 2016
Mailing address4500 Satellite Blvd, Suite 2250, Duluth, GA 30096-5037

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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