Active NPI
Marjory Kerzner-Wilson
- Speech-Language Pathologist
- Savannah, GA
National Provider Identifier
1487061396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109758
- Practice address
- 1000 Eisenhower Dr
Savannah, GA 31406-2601 - Phone
- (912) 335-1650
- NPI assigned
- Jul 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 109758 | GA | Primary |
Addresses
Primary practice location
1000 Eisenhower Dr
Savannah, GA 31406-2601
Mailing address
32 S Rockwell Ave
Savannah, GA 31419-3018
Phone (912) 224-2112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109758 | Other | GA | GEORGIA EDUCATOR CERTIFICATE |
| SLP009120 | Other | GA | GA SLP LICENSE |
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 |
|---|---|---|---|
| 109758 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Therapy Services, Inc | 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.
-
- Hearing and Speech Clinic/Center
- Savannah, GA
- NPI 1346410461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1487061396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 S ROCKWELL AVE",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314193018",
"telephone_number": "912-224-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062601",
"telephone_number": "912-335-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERZNER-WILSON",
"first_name": "MARJORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-14",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "109758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA EDUCATOR CERTIFICATE",
"identifier": "109758",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA SLP LICENSE",
"identifier": "SLP009120",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.