Wendy Yates, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2715 Issued in SC

Practice address

297 W Boyce St
Manning, SC 29102-3004

Phone

(803) 433-9001

Fax

(803) 433-9002

NPI assigned

Jul 22, 2015

Last updated

Mar 27, 2025By 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

Enrolled in SC

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Lakes Therapy LLCGroup PAC ID 3779711031, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Southern Lakes Therapy LLC

  • Physical Therapist
  • Manning, SC
  • NPI 1700212420
  Medicare reassignment Care Compare group
• Therapy Consortium Inc.

  • Speech-Language Pathologist
  • Myrtle Beach, SC
  • NPI 1467611756
  NPD (past)

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1326423195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 W BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023004",
            "telephone_number": "803-433-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 W BOYCE ST",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291023004",
            "telephone_number": "803-433-9001",
            "fax_number": "803-433-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "WENDY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Burgess Wilson, SLPA
• Deborah Riser Wilson
• Gina G Wilson, FNP
• Stepheni Witherspoon Edwards, DPT
• Peter Wright II
• Anne Christina Zimmerman, D.O.

• Speech-Language Pathologist in Manning, SC
• Providers in Manning, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.