Melissa Williamson, M.ED/ CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011852 Issued in GA

Practice address

400 Adams St Unit B
Vidalia, GA 30474-4817

Phone

(478) 254-0636

Fax

(912) 525-2847

NPI assigned

Jan 19, 2021

Last updated

Oct 30, 2024By the provider in NPPES

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chit Chat Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Soperton, GA
  • NPI 1689281032
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1386234953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BOWENS MILL RD SW",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315333926",
            "telephone_number": "912-331-0846",
            "fax_number": "678-792-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ADAMS ST UNIT B",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304744817",
            "telephone_number": "478-254-0636",
            "fax_number": "912-525-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MELISSA",
        "credential": "M.ED/ CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SLP011852",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael G Wiggins, FNP
• Williams Rural Surgical & Medical Clinic (Williams Medical Care Clinic)
• Michael Anthony Williams, MD
• Patricia Cave Williams, APRN
• Ronald W Williams Jr., MD
• Rebecca Lou Wolfe, DMD
• Jeremy Don Wood, D.M.D
• Margaret Fairley Wood, CCC/SLP
• Jessi Erica Woods
• Lagail Wright

• Speech-Language Pathologist in Vidalia, GA
• Providers in Vidalia, 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 Oct 30, 2024; 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.