Olivia G Medders

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLP.9121SPA Issued in SC

Practice address

717 Old Trolley Rd Ste 227-6
Summerville, SC 29485-5287

Phone

(803) 566-6746

NPI assigned

Jan 17, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737244800000",
    "number": "1144031147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17411 MAGNOLIA VIEW DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115925",
            "telephone_number": "407-271-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 OLD TROLLEY RD STE 227-6",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855287",
            "telephone_number": "803-566-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDDERS",
        "first_name": "OLIVIA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "SC",
            "license": "SLP.9121SPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McPhail Clinic PC
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• Kyrie Leigh McSwain
• Karyn Ginette Meadows, D.C.
• Meca Home Health, LLC
• Medical Outreach Clinic of Summerville Inc
• Medicine Man Medical Supplies and Equipment
• Sasha Medina, M.ED
• Medprimary LLC
• Medsource Medical DME LLC

• Speech-Language Assistant in Summerville, SC
• Providers in Summerville, SC by specialty
• Speech-Language Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.