Renee J Williamson, M.S.CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP003988 Issued in GA

Practice address

121 Daufuski LN
Saint Simons Island, GA 31522-9801

Phone

(912) 269-9926

NPI assigned

Feb 9, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1093054124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DAUFUSKI LN",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315229801",
            "telephone_number": "912-269-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DAUFUSKI LN",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315229801",
            "telephone_number": "912-269-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "RENEE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-09",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Haley Whobrey, PA-C
• Robert John Wiedemeyer, M.D.
• William L Whatley D.M.D. P.C.
• William W. Daniels, Jr., M.D., PC
• Angela Barry Williams, PHARMD
• Isabella Wilson, MSN, APRN, AGNP-C
• Victoria Ryan Wolfes
• Melissa A Wood-Katz, MD
• Deborah Lynn Zito, PA-C,IBCLC

• Speech-Language Pathologist in Saint Simons Island, GA
• Providers in Saint Simons Island, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.