Charlotte C Brathwaite, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP001639 Issued in GA

Practice address

2906 Professional Pkwy
Augusta, GA 30907-6503

Phone

(706) 868-8686

Fax

(706) 868-8643

NPI assigned

Nov 2, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Westgate McGuinness Enterprises, Inc

  • Physical Therapist
  • Augusta, GA
  • NPI 1174693600

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356429401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 PROFESSIONAL PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309076503",
            "telephone_number": "706-868-8686",
            "fax_number": "706-868-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 PROFESSIONAL PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309076503",
            "telephone_number": "706-868-8686",
            "fax_number": "706-868-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATHWAITE",
        "first_name": "CHARLOTTE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP001639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10065241",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "312243",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audrey Edwards Brannon, RD. LD. MSA, DMIN
• Bransford LLC
• Lucy-Marie Boone Brantley, M.D.
• J Allen Braselton, DMD
• Lorraine Claire Braswell, PHD
• Maria Bratoeva
• Kelli Melissa Braun, M.D.
• Albert Vincent Brawley, MD
• Amalia Brawley, MD
• Breakthrough Counseling, Coaching and Consulting LLC

• Speech-Language Pathologist in Augusta, GA
• Providers in Augusta, 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 Jul 9, 2007; 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.