Individual provider Active NPI

Ashley Holt Griner, SPEECH & AUDIOLOGY

  • Speech-Language Pathologist
  • Camilla, GA
National Provider Identifier
1346563947
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007412 Issued in GA
Practice address
99 E Broad St
Camilla, GA 31730-1807
Phone
(229) 336-8255
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X PCET001492 GA
Speech-Language Pathologist 235Z00000X SLP007412 GA Primary

Addresses

Primary practice location

99 E Broad St
Camilla, GA 31730-1807

Mailing address

3809 Mount Zion Rd
Camilla, GA 31730-6645
Phone (229) 400-1142

Other names 1

  • Ashley Suzanne Holt Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PCET001492GAMDSpeech-Language Pathologist
SLP007412GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Mitchell County 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.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1346563947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 MOUNT ZION RD",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317306645",
            "telephone_number": "229-400-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E BROAD ST",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317301807",
            "telephone_number": "229-336-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINER",
        "first_name": "ASHLEY",
        "middle_name": "HOLT",
        "name_prefix": "Ms.",
        "credential": "SPEECH & AUDIOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "PCET001492",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "HOLT",
            "middle_name": "SUZANNE",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camilla, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.