NPIMap

Organization Active NPI

Golden Speech Therapy, Inc

  • Hearing and Speech Clinic/Center
  • Tifton, GA
National Provider Identifier
1073041919
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
SLP008926 Issued in GA
Legal business name
GOLDEN SPEECH THERAPY, INC
Practice address
117 3Rd St E
Tifton, GA 31794
Phone
(229) 402-7188
Fax
(229) 329-4532
NPI assigned
May 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Rebecca Golden Waldrop, M.ED CCC-SLPNPI 1396119186
Title
Speech Language Pathologist/Ceo
Phone
(478) 455-1171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X SLP008926 GA Primary

Addresses

Primary practice location

117 3Rd St E
Tifton, GA 31794

Mailing address

PO Box 7662
Tifton, GA 31793-7662
Phone (478) 455-1171

Other practice location 1

6 Eagle Pass
Swainsboro, GA 30401-4544
Phone (478) 455-1171

Other practice location 2

1152 Tifton Eldorado Rd
Tifton, GA 31794-8729
Phone (478) 455-1171

Other practice location 3

1200 Tifton Eldorado Rd
Tifton, GA 31794-8730
Phone (478) 455-1171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210104000736 GA Part B Supplier - Clinic/Group Practice 3072926484 Receives reassigned benefits from 4 practitioners
Practice locations: Tifton, GA

National Provider Directory

National Provider Directory

Locations

405 Love Ave
Tifton, GA 31794
Phone (229) 402-7188

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073041919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7662",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317937662",
            "telephone_number": "478-455-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 3RD ST E",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-402-7188",
            "fax_number": "229-329-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Eagle Pass",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304014544",
            "country_code": "US",
            "telephone_number": "478-455-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1152 Tifton Eldorado Rd",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317948729",
            "country_code": "US",
            "telephone_number": "478-455-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Tifton Eldorado Rd",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317948730",
            "country_code": "US",
            "telephone_number": "478-455-1171",
            "fax_number": "229-329-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN SPEECH THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "GOLDEN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/CEO",
        "authorized_official_telephone_number": "478-455-1171",
        "authorized_official_credential": "M.ED CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "SLP008926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.