Active NPI
Bethany Stokes Sandifer, CCC-SLP
- Speech-Language Pathologist
- North Augusta, SC
National Provider Identifier
1063394872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8819
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP013718 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Clinic/Center
- Martinez, GA
- NPI 1962676502
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.