Active NPI
Ashtyn Lynn Goode
- Speech-Language Pathologist
- Jesup, GA
National Provider Identifier
1174489009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PCET004437
- Practice address
- 1243 S 1St St
Jesup, GA 31545-7729 - Phone
- (912) 342-8875
- Fax
- (912) 342-8016
- NPI assigned
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET004437 | GA | MD | Speech-Language Pathologist |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET004437 | GA | Primary |
Addresses
Primary practice location
1243 S 1St St
Jesup, GA 31545-7729
Mailing address
88 Oneal Dr
Hinesville, GA 31313-7714
Other names 1
- Ashtyn Lynn Ray
NPI Registry JSON
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1174489009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 ONEAL DR",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313137714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 S 1ST ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315457729",
"telephone_number": "912-342-8875",
"fax_number": "912-342-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODE",
"first_name": "ASHTYN",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET004437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHTYN",
"last_name": "RAY",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jesup, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.