Active NPI
Whitney Alison Williams, S.T.
- Speech-Language Pathologist
- Moultrie, GA
National Provider Identifier
1356519995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007008
- Practice address
- 300 Sunset Cir
Moultrie, GA 31768-6934 - Phone
- (229) 985-2080
- Fax
- (229) 890-3397
- NPI assigned
- Feb 18, 2008
- Sex
- Female
- Sole proprietor
- No
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 | PCET001304 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP007008 | GA | Primary |
Addresses
Primary practice location
300 Sunset Cir
Moultrie, GA 31768-6934
Mailing address
3934 Burton Rd
Barney, GA 31625-1616
Phone (229) 775-2386
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCET001304 | Other | GA | BD FOR S.T. |
| SLP007008 | Other | GA | STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| PCET001304 | GA | MD | Speech-Language Pathologist |
| SLP007008 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Therapy Services Inc | Speech-Language Pathologist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Moultrie, GA
- NPI 1528024387
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1356519995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3934 BURTON RD",
"city": "BARNEY",
"state": "GA",
"postal_code": "316251616",
"telephone_number": "229-775-2386",
"fax_number": "229-890-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SUNSET CIR",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317686934",
"telephone_number": "229-985-2080",
"fax_number": "229-890-3397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WHITNEY",
"middle_name": "ALISON",
"name_prefix": "Mrs.",
"credential": "S.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-18",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET001304",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BD FOR S.T.",
"identifier": "PCET001304",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "SLP007008",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.