Active NPI
Chelsey Sweat, CCC-SLP
- Speech-Language Pathologist
- Waycross, GA
National Provider Identifier
1578124368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011355
- Practice address
- 1701 Boulevard SQ Ste F
Waycross, GA 31501-8022 - Phone
- (123) 428-8759
- Fax
- (912) 342-8016
- NPI assigned
- Jun 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET002906 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP011355 | GA | Primary |
Addresses
Primary practice location
1701 Boulevard SQ Ste F
Waycross, GA 31501-8022
Mailing address
4212 Coral Park Dr
Brunswick, GA 31520-3016
Phone (123) 428-8759
Other practice location 1
1110 S Pierce St Ste A
Alma, GA 31510-3718
Phone (912) 342-8875
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 |
|---|---|---|---|
| PCET002906 | GA | MD | Speech-Language Pathologist |
| SLP011355 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapies of SE Ga, LLC | Speech-Language Pathologist | 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.
-
- Pediatric Occupational Therapist
- Brunswick, GA
- NPI 1841577111
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667606400000",
"number": "1578124368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 CORAL PARK DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315203016",
"telephone_number": "123-428-8759",
"fax_number": "912-342-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 BOULEVARD SQ STE F",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315018022",
"telephone_number": "123-428-8759",
"fax_number": "912-342-8016"
}
],
"practiceLocations": [
{
"address_1": "1110 S Pierce St Ste A",
"address_purpose": "LOCATION",
"city": "Alma",
"state": "GA",
"postal_code": "315103718",
"country_code": "US",
"telephone_number": "912-342-8875",
"fax_number": "912-342-8016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEAT",
"first_name": "CHELSEY",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2022-11-05",
"certification_date": "2022-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET002906",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.