Madelyn Grace Thomas, M.ED . , CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET004005 Issued in GA

Practice address

106 Shoppers Way Ste 112
Brunswick, GA 31525-0522

Phone

(912) 554-3805

NPI assigned

Jun 13, 2024

Sex

Female

Sole proprietor

No

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

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ridgecare Therapy Services LLCGroup PAC ID 1557809357, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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

• Ridgecare Therapy Services LLC

  • Speech-Language Pathologist
  • Baxley, GA
  • NPI 1578391967
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1114760790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARINA DR APT 304A",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222254",
            "telephone_number": "912-381-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY STE 112",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250522",
            "telephone_number": "912-554-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MADELYN",
        "middle_name": "GRACE",
        "credential": "M.ED . , CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET004005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Transportation Services
• Coriane Elizabeth Thomas, PHARMD
• Eric Flynt Thomas, MD
• Kyle Thomas, LAC
• Kyndra Thomas, NP
• Shikinya Thomas
• Andrea Maxine Thompson, MD
• Ashley Thompson
• Cathy Thompson, RN
• David Shannon Thompson, CPO

• Speech-Language Pathologist in Brunswick, GA
• Providers in Brunswick, 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 13, 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.