Individual provider Active NPI

Bethany Stokes Sandifer, CCC-SLP

  • Speech-Language Pathologist
  • North Augusta, SC
National Provider Identifier
1063394872
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8819 Issued in SC
Practice address
802 E Martintown Rd Ste 403
North Augusta, SC 29841-5328
Phone
(803) 216-1522
Fax
(833) 799-3525
NPI assigned
Jul 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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 8819 SC Primary
Speech-Language Pathologist 235Z00000X SLP013718 GA

Addresses

Primary practice location

802 E Martintown Rd Ste 403
North Augusta, SC 29841-5328

Mailing address

802 E Martintown Rd Ste 403
North Augusta, SC 29841-5328
Phone (803) 216-1522

Other practice location 1

3614 J Dewey Gray Cir Ste B
Augusta, GA 30909-6512
Phone (706) 364-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP013718GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensational Kids Pediatric Rehabilitation & Counseling, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1753228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1063394872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E MARTINTOWN RD STE 403",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298415328",
            "telephone_number": "803-216-1522",
            "fax_number": "833-799-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E MARTINTOWN RD STE 403",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298415328",
            "telephone_number": "803-216-1522",
            "fax_number": "833-799-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3614 J Dewey Gray Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096512",
            "country_code": "US",
            "telephone_number": "706-364-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDIFER",
        "first_name": "BETHANY",
        "middle_name": "STOKES",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-23",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "8819",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP013718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.