Individual provider Active NPI

Beth Greene

  • Speech-Language Pathologist
  • Shelby, NC
National Provider Identifier
1114295664
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7370 Issued in SC
Practice address
2604 Willow Brook Dr
Shelby, NC 28152-8073
Phone
(704) 862-8699
NPI assigned
Dec 12, 2011
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8474 NC
Speech-Language Pathologist 235Z00000X 7370 SC Primary

Addresses

Primary practice location

2604 Willow Brook Dr
Shelby, NC 28152-8073

Mailing address

454 Lemmons Rd
Mooresboro, NC 28114

Other names 1

  • Beth Paglia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220712000608 SC Practitioner - Qualified Speech Language Pathologist 8527448257 Reassigns benefits to 2 organizations
I20230831004174 NC Practitioner - Qualified Speech Language Pathologist 8527448257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Outpatient Rehabilitation Services LLCGroup PAC ID 8022272848, 199 clinicians

Practice addresses (Care Compare)

3150 Burke Mill Rd
RM 200
Winston Salem, NC 27103-6431
Phone (336) 397-4200

602 Brevard St
Kings Mountain, NC 28086-8692
Phone (980) 224-5253

850 Majestic CT
Gastonia, NC 28054-5131
Phone (980) 408-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8474NCMDPharmacist
7370SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Jul 22, 2023 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 28, 2022 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Jul 22, 2023 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 28, 2022 Accepting new patients

Locations

2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602

101 Park Ct
Gaffney, SC 29341
Phone (843) 800-2754

1 Marcus Dr
Ste 102
Greenville, SC 29615

2065 McCrays Mill Rd
Sumter, SC 29154
Phone (502) 213-7575

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1114295664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LEMMONS RD",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "28114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 WILLOW BROOK DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528073",
            "telephone_number": "704-862-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8474",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "PAGLIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.