Ansley Goss

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

PCET003485 Issued in GA

Practice address

22 Durham St
Watkinsville, GA 30677-2423

Phone

(706) 310-4103

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Kidztherapy Networks Inc

  • Pediatric Occupational Therapist
  • Cumming, GA
  • NPI 1700913522

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1215699129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E CLOVERHURST AVE APT B1",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051241",
            "telephone_number": "770-827-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DURHAM ST",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772423",
            "telephone_number": "706-310-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSS",
        "first_name": "ANSLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET003485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond L Gilbert Jr., M.D.
• Tuwanna Gilham, RBT
• Michael Jack Ginter, BSW
• John Bruce Glenn
• Ashlyn Baxley Gober, OTR/L
• Steven Jeffrey Gottlieb, D.O.
• Grace Counseling of Athens
• Alexander Graf, MD
• Emily Morgan Graf, MD
• Kristen Graves

• Speech-Language Pathologist in Watkinsville, GA
• Providers in Watkinsville, 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 Oct 7, 2021; 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.