Erin Destiny Wilson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012637 Issued in GA

Practice address

1637 Athens Hwy Ste B
Grayson, GA 30017-1768

Phone

(770) 995-9600

NPI assigned

Sep 7, 2023

Last updated

Sep 11, 2023By the provider in NPPES

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

Enrolled in MD, DC, GA3 enrollments

Enrollment records 3

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expressable Therapy PC

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1134875370

  DC, GA, MD

  Medicare reassignment NPD
• Rightstart Therapy Service, Inc.

  • Speech-Language Pathologist
  • Snellville, GA
  • NPI 1053542092
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1306622949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 ATHENS HWY STE B",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171768",
            "telephone_number": "770-995-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 ATHENS HWY STE B",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171768",
            "telephone_number": "770-995-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ERIN",
        "middle_name": "DESTINY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Wiggins
• Delia Harriet Williams, LPC
• Monique Williams, CPT
• Taylor Williams, RPH
• Larresia Hairston Williamson, RN, MSN, FNP-BC
• Ramona Wimberly
• Jean Winston, M.A. CCC-SLP
• Jenna Michele Wollerman, M.S. CCC-SLP
• Brian Woodard, LPN
• Wooten Healthcare Services

• Speech-Language Pathologist in Grayson, GA
• Providers in Grayson, 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 Sep 11, 2023; 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.