Organization Active NPI

Panola Speech Therapy, LLC

  • Speech-Language Pathologist
  • Batesville, MS
National Provider Identifier
1093345019
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
PANOLA SPEECH THERAPY, LLC
Practice address
107 Eureka St
Batesville, MS 38606-2533
Phone
(662) 712-5002
Fax
(662) 712-6100
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Amanda Flint
Title
Revenue Cycle Manager
Phone
(662) 710-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

107 Eureka St
Batesville, MS 38606-2533

Mailing address

PO Box 743
Batesville, MS 38606-0743
Phone (662) 712-5002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1093345019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386060743",
            "telephone_number": "662-712-5002",
            "fax_number": "662-712-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062533",
            "telephone_number": "662-712-5002",
            "fax_number": "662-712-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOLA SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "662-710-1035"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.