Individual provider Active NPI

Gabrielle Hope Wyrick, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Dalton, GA
National Provider Identifier
1538805635
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1212 Broadrick Dr
Dalton, GA 30720-2503
Phone
(423) 385-9552
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 Primary

Addresses

Primary practice location

1212 Broadrick Dr
Dalton, GA 30720-2503

Mailing address

3145 Hidden Lake Rd
Dalton, GA 30721-7666
Phone (423) 385-9552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024001473 GA Practitioner - Qualified Speech Language Pathologist 3274989538 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC Speech-Language Pathologist CurrentSince Apr 11, 2025 Accepting new patients
The Weston Group Inc. Speech-Language Pathologist CurrentSince Apr 11, 2025 Accepting new patients
The Weston Group Inc. CurrentSince Apr 11, 2025 Accepting new patients
Paxxon Healthcare Services LLC CurrentSince Apr 11, 2025 Accepting new patients

Locations

2725 Holcomb Bridge Rd
Alpharetta, GA 30022
Phone (770) 649-0808

660 Jolly Rd NW
Calhoun, GA 30701
Phone (239) 822-7947

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

Organizations & group practices 4

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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1538805635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 HIDDEN LAKE RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307217666",
            "telephone_number": "423-385-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202503",
            "telephone_number": "423-385-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "GABRIELLE",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.