Individual provider Active NPI

Amelia Parker, CCC-SLP

  • Speech-Language Pathologist
  • Thomasville, GA
National Provider Identifier
1487892956
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP003141 Issued in GA
Practice address
7544 Metcalf Rd
Thomasville, GA 31792-8638
Phone
(404) 543-6818
Fax
(229) 226-6854
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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 SLP003141 GA Primary

Addresses

Primary practice location

7544 Metcalf Rd
Thomasville, GA 31792-8638

Mailing address

7544 Metcalf Rd
Thomasville, GA 31792-8638
Phone (404) 543-6818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116001347 GA Practitioner - Qualified Speech Language Pathologist 5294146619 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Speech-Language Pathologist CurrentSince Jul 15, 2023 Accepting new patients
Select Outpatient Services Inc PastSince Jan 1, 2017 Accepting new patients

Locations

135 Market St
Thomasville, GA 31792
Phone (229) 222-9146

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1487892956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7544 METCALF RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928638",
            "telephone_number": "404-543-6818",
            "fax_number": "229-226-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7544 METCALF RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928638",
            "telephone_number": "404-543-6818",
            "fax_number": "229-226-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMELIA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP003141",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 21, 2009; 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.