Celia Burgess Wilson, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

7358 Issued in SC

Practice address

297 W Boyce St
Manning, SC 29102-3004

Phone

(803) 433-9001

Fax

(803) 433-9002

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Southern Lakes Therapy LLC

  • Physical Therapist
  • Manning, SC
  • NPI 1700212420
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1043825243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 W BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023004",
            "telephone_number": "803-433-9001",
            "fax_number": "803-433-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 W BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023004",
            "telephone_number": "803-433-9001",
            "fax_number": "803-433-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CELIA",
        "middle_name": "BURGESS",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "SC",
            "license": "7358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lott Whetstone
• Linda M White
• William C. Aldrich
• Bruce Barry Williams, D.O.
• Marva Denise Williams, MD
• Deborah Riser Wilson
• Gina G Wilson, FNP
• Stepheni Witherspoon Edwards, DPT
• Peter Wright II
• Wendy Yates, CCC-SLP

• Speech-Language Assistant in Manning, SC
• Providers in Manning, SC by specialty
• Speech-Language Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.