Elizabeth Williams Seibert, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012117 Issued in GA

Practice address

2653 West Oxford Loop
Oxford, MS 38655-5442

Phone

(662) 715-3045

Fax

(662) 715-3046

NPI assigned

Jul 1, 2022

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

Other names 1

• Elizabeth Street Williams Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

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.

• Performance Therapy LLC

  • Physical Therapist
  • Philadelphia, MS
  • NPI 1851427132
  Medicare reassignment NPD
• Cobblestone Pathways, LLC

  • Speech-Language Pathologist
  • Roswell, GA
  • NPI 1528171535
  NPD (past)
• The George Center Foundation

  • Music Therapist
  • Roswell, GA
  • NPI 1750623658
  NPD (past)

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1043943608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W. BEACON ST",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503229",
            "telephone_number": "601-650-0002",
            "fax_number": "601-650-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 WEST OXFORD LOOP",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555442",
            "telephone_number": "662-715-3045",
            "fax_number": "662-715-3046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12010 Etris Rd Ste A150",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300758009",
            "country_code": "US",
            "telephone_number": "770-998-9599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "ELIZABETH",
        "middle_name": "WILLIAMS",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2024-12-09",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "Transferring of medical history",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12010 Etris Rd Ste A150",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300758009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WILLIAMS",
            "middle_name": "STREET",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendarious Scott
• Christopher Killis Scruggs
• Sheridan Lee Scruggs, LPC
• Kynyardda Arkkiah Seals, MSW
• Second Chance Homecare LLC
• Margaret Walton Seicshnaydre, LPC
• Elizabeth Redmond Selby, LMSW
• Rachel Selman
• Leroy Allen Selvidge, D.D.S.
• Courtney Michelle Paden Sessums, NP-C

• Speech-Language Pathologist in Oxford, MS
• Providers in Oxford, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.