Active NPI
Speech-Language Pathology Contractors, Inc.
- Speech-Language Pathologist
- Waycross, GA
National Provider Identifier
1386871887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH-LANGUAGE PATHOLOGY CONTRACTORS, INC.
- Practice address
- 1507 Alice St
Waycross, GA 31501-4530 - Phone
- (912) 283-0777
- Fax
- (912) 283-7757
- NPI assigned
- Jun 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Allison C. Herrin, CCC-SLP
- Title
- Owner
- Phone
- (912) 283-0777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005005 | GA | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1507 Alice St
Waycross, GA 31501-4530
Mailing address
1415 Alice Street
Waycross, GA 31501-4528
Phone (912) 283-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
303 Pineview Dr
Waycross, GA 31501
Phone (912) 283-0777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Waycross, GA
- NPI 1518928043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729209600000",
"number": "1386871887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 ALICE STREET",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014528",
"telephone_number": "912-283-0777",
"fax_number": "912-283-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014530",
"telephone_number": "912-283-0777",
"fax_number": "912-283-7757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH-LANGUAGE PATHOLOGY CONTRACTORS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-11",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A",
"authorized_official_last_name": "HERRIN",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-283-0777",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "005005",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
- Southeastern Chiropractic
- Southern Anesthesia Company, LLC.
- Southern Georgia Regional Commission
- Southern Nurse Anesthesiology, LLC
- Speech Clinic LLC
- Sonda Sperzel, LPC
- Sports Medicine and Rehab Therapy, LLC (SMaRT Physical Therapy)
- Madison Sports, LPC
- Jason Springer, D.O
- Prasanna Sampurna Srinagesh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.