Active NPI
Asheley Delois Sellers, CCC-SLP
- Speech-Language Pathologist
- Albany, GA
National Provider Identifier
1396978300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007125
- Practice address
- 235 W Roosevelt Ave Ste 226
Albany, GA 31701-5131 - Phone
- (229) 638-0627
- Fax
- (229) 329-4487
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP007125 | GA | Primary |
Addresses
Primary practice location
235 W Roosevelt Ave Ste 226
Albany, GA 31701-5131
Mailing address
514 Divine Dr
Albany, GA 31721-9547
Phone (229) 638-0627
Other practice location 1
514 Divine Dr
Albany, GA 31721-9547
Phone (229) 638-0627
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844552268A | Medicaid | GA | |
| 844552268B | Medicaid | GA |
Other names 1
- Speech Language and Beyond
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.speechlanguageandbeyond.com | Direct |
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 |
|---|---|---|---|
| SLP007125 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Language and Beyond, LLC | 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 and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Albany, GA
- NPI 1720421399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1396978300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 DIVINE DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317219547",
"telephone_number": "229-638-0627",
"fax_number": "229-496-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W ROOSEVELT AVE STE 226",
"city": "ALBANY",
"state": "GA",
"postal_code": "317015131",
"telephone_number": "229-638-0627",
"fax_number": "229-329-4487"
}
],
"practiceLocations": [
{
"address_1": "514 Divine Dr",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "GA",
"postal_code": "317219547",
"country_code": "US",
"telephone_number": "229-638-0627",
"fax_number": "229-496-5277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELLERS",
"first_name": "ASHELEY",
"middle_name": "DELOIS",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "844552268A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "844552268B",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.speechlanguageandbeyond.com",
"affiliation": "N",
"endpointDescription": "webstie",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "235 W Roosevelt Ave Ste 226",
"city": "Albany",
"state": "GA",
"country_code": "US",
"postal_code": "317015131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SPEECH",
"last_name": "BEYOND",
"middle_name": "LANGUAGE AND",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.