Individual provider Active NPI

Amanda Kate Thomas, MED CCC-SLP

  • Speech-Language Pathologist
  • Valdosta, GA
National Provider Identifier
1013449115
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP013690 Issued in GA
Practice address
2301 Bemiss Rd
Valdosta, GA 31602-1934
Phone
(229) 244-1667
Fax
(229) 244-8253
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PCET003957 GA
Speech-Language Pathologist 235Z00000X SLP013690 GA Primary

Addresses

Primary practice location

2301 Bemiss Rd
Valdosta, GA 31602-1934

Mailing address

2301 Bemiss Rd
Valdosta, GA 31602-1934
Phone (229) 244-1667

Other names 1

  • Amanda Kate Morris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250917000732 GA Practitioner - Qualified Speech Language Pathologist 8426552175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3812 Megan Cir
Valdosta, GA 31605-7871

4560 Courtland Cir
Hahira, GA 31632-2608

5109 Northwind Blvd
Valdosta, GA 31605-7674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PCET003957GAMDSpeech-Language Pathologist
SLP013690GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Rehab Services, LLC Speech-Language Pathologist CurrentSince Jul 3, 2025 Accepting new patients
Choice Family Medicine, PC PastSince Jan 21, 2024 Accepting new patients

Locations

2301 Bemiss Rd
Valdosta, GA 31602
Phone (229) 244-1667

5109 Northwind Blvd
Valdosta, GA 31605
Phone (229) 244-1667

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1013449115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021934",
            "telephone_number": "229-244-1667",
            "fax_number": "229-244-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021934",
            "telephone_number": "229-244-1667",
            "fax_number": "229-244-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "MED CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003957",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP013690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MORRIS",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.