Individual provider Active NPI

Ashley Elizabeth Overstreet, CCC-SLP

  • Speech-Language Pathologist
  • Augusta, GA
National Provider Identifier
1326767781
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14283840 Issued in GA
Practice address
1220 W Wheeler Pkwy
Augusta, GA 30909-6625
Phone
(706) 869-1515
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14283840 GA Primary

Addresses

Primary practice location

1220 W Wheeler Pkwy
Augusta, GA 30909-6625

Mailing address

4139 Stonegate Dr
Evans, GA 30809-4615
Phone (706) 339-9858

Other practice location 1

1200 Talisman Dr
North Augusta, SC 29841-4032
Phone (803) 278-2170

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

State licenses

LicenseStateTypeSpecialty
14283840GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1326767781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4139 STONEGATE DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094615",
            "telephone_number": "706-339-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096625",
            "telephone_number": "706-869-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Talisman Dr",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414032",
            "country_code": "US",
            "telephone_number": "803-278-2170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "14283840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.