Active NPI
Brittany T Folsom, SLP
- Speech-Language Pathologist
- Valdosta, GA
National Provider Identifier
1245567692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007209
- Practice address
- 2700 N Oak St
BLDG a
Valdosta, GA 31602-1772 - Phone
- (229) 244-1667
- Fax
- (229) 244-8253
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 | SLP007209 | GA | Primary |
Addresses
Primary practice location
2700 N Oak St
BLDG a
Valdosta, GA 31602-1772
Mailing address
2700 N Oak St
BLDG a
Valdosta, GA 31602-1772
Phone (229) 244-1667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433007451D | Medicaid | GA |
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)
- Enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Family Medicine, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Valdosta, GA
- NPI 1609087469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1245567692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N OAK ST",
"address_2": "BLDG A",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021772",
"telephone_number": "229-244-1667",
"fax_number": "229-244-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N OAK ST",
"address_2": "BLDG A",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021772",
"telephone_number": "229-244-1667",
"fax_number": "229-244-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLSOM",
"first_name": "BRITTANY",
"middle_name": "T",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433007451D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.