Active NPI
Ashley Holt Griner, SPEECH & AUDIOLOGY
- Speech-Language Pathologist
- Camilla, GA
National Provider Identifier
1346563947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PCET001492 | GA | MD | Speech-Language Pathologist |
| SLP007412 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Critical Access Hospital
- Camilla, GA
- NPI 1700830247
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.