Intrepid Cce Speech LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INTREPID CCE SPEECH LLC

Practice address

5820 Veterans Pkwy Ste 210
Columbus, GA 31904-3465

Phone

(706) 641-7313

NPI assigned

Mar 1, 2023

Last updated

Aug 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela HancockNPI 1972982700

Title

Owner

Phone

(803) 386-8623

Specialties & licenses 1

Addresses

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Christa Hancock, MSP, CCC-SLP

  • Speech-Language Pathologist
  • Columbia, SC
  • NPI 1972982700
  NPD Authorized official
• Samantha Fordham Depue, M.ED. CCC-SLP, BCBA

  • Speech-Language Pathologist
  • Columbus, GA
  • NPI 1114041613
  NPD (past)
• Payton Lee, ME, CCC-SLP

  • Speech-Language Pathologist
  • Americus, GA
  • NPI 1679335293
  NPD (past)
• Whitney Nunez

  • Speech-Language Pathologist
  • Columbus, GA
  • NPI 1750290540
  NPD (past)
• Lindsay Elizabeth Olson

  • Speech-Language Pathologist
  • Midland, GA
  • NPI 1225747959
  NPD (past)
• Raquelle R Southard, SLP

  • Speech-Language Pathologist
  • Columbus, GA
  • NPI 1649192436
  NPD (past)
• Emily Kolis

  • Speech-Language Pathologist
  • Waxhaw, NC
  • NPI 1447975404
  NPD (past)

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1356040141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 VETERANS PKWY STE 210",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043465",
            "telephone_number": "706-641-7313",
            "fax_number": "762-266-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 VETERANS PKWY STE 210",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043465",
            "telephone_number": "706-641-7313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7556 Old Moon Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319091738",
            "country_code": "US",
            "telephone_number": "803-386-8623",
            "fax_number": "762-266-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTREPID CCE SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-386-8623"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interface Home Health
• Internal Medicine Associates of Columbus, LLC
• Internal Medicine Education & Research Foundation of Columbus, Inc
• Internal Medicine Education and Research Foundation
• Internal Medicine of West-Central Georgia, P.C.
• Judson Ray Ireland Jr., O.D.
• Autumn Joy Irions
• Nerea Irusta, PHARMD
• Heather Irvin
• Isaac S. Hadley, DMD, PC

• Speech-Language Pathologist in Columbus, GA
• Providers in Columbus, 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 Aug 28, 2025; 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.