Individual provider Active NPI

Angela Felts, SLP

  • Speech-Language Pathologist
  • Thomasville, GA
National Provider Identifier
1396260576
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP009811 Issued in GA
Practice address
300 W Hansell St
Thomasville, GA 31792-6650
Phone
(229) 584-5782
NPI assigned
Aug 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP009811 GA Primary

Addresses

Primary practice location

300 W Hansell St
Thomasville, GA 31792-6650

Mailing address

300 W Hansell St
Thomasville, GA 31792-6650
Phone (229) 584-5782

Other identifiers 1

IdentifierTypeStateIssuer
SLP009811OtherGASPEECH LANGUAGE PATHOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220820000339 GA Practitioner - Qualified Speech Language Pathologist 8820471089 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Voice & Dysphagia Diagnostics, LLC Speech-Language Pathologist CurrentSince Aug 12, 2022 Accepting new patients
John D Archbold Memorial Hospital Inc PastSince Jul 24, 2022 Accepting new patients

Locations

24 S Zetterower Ave
Statesboro, GA 30458
Phone (912) 299-2394

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396260576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926650",
            "telephone_number": "229-584-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HANSELL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926650",
            "telephone_number": "229-584-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTS",
        "first_name": "ANGELA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP009811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY",
            "identifier": "SLP009811",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.