Samantha Fordham Depue, M.ED. CCC-SLP, BCBA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP6138 Issued in GA

Practice address

6329 Brookstone Blvd
Columbus, GA 31904-2993

Phone

(706) 577-3942

Fax

(706) 287-1057

NPI assigned

Mar 19, 2007

Last updated

Jun 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Science Center, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1336705961
  NPD (past)
• Intrepid Cce Speech LLC

  • Speech-Language Pathologist
  • Columbus, GA
  • NPI 1356040141
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1114041613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 BROOKSTONE BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042993",
            "telephone_number": "706-577-3942",
            "fax_number": "706-287-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 BROOKSTONE BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042993",
            "telephone_number": "706-577-3942",
            "fax_number": "706-287-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUE",
        "first_name": "SAMANTHA",
        "middle_name": "FORDHAM",
        "name_prefix": "Mrs.",
        "credential": "M.ED. CCC-SLP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP6138",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-22-62671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "SLP 6138",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "1-22-62671",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Department of Behavioral Health and Developmental Disabilities (West Central Behavioral Health Lighthouse Adult Crisis Stab Program)
• Department of Behavioral Health and Developmental Disabilities (West Central Georgia Regional Hospital)
• Department of Behavioral Health and Developmental Disabilities (West Central Behavioral Health C & A Mobile Crisis Response Service)
• Cindy Lou Deplonty, OD
• Albert Depratt III, CPS
• Dermatology and Skincare, PC
• Saul Ronald Dermer, DDS
• Kishor Dahyabhai Desai, M.D.
• Nitin R Desai, MD
• Parth Nitin Desai, MD

• Speech-Language Pathologist in Columbus, GA
• Providers in Columbus, 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 Jun 27, 2025; 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.