Individual provider Active NPI

Asheley Delois Sellers, CCC-SLP

  • Speech-Language Pathologist
  • Albany, GA
National Provider Identifier
1396978300
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007125 Issued in GA
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

Updated by the provider on Dec 21, 2020

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 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

IdentifierTypeStateIssuer
844552268AMedicaidGA
844552268BMedicaidGA

Other names 1

  • Speech Language and Beyond Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
SLP007125GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.