Individual provider Active NPI

Beth-Ann Griesser McSweeney, M.ED, CCC-SLP

  • Speech-Language Pathologist
  • Williamsburg, VA
National Provider Identifier
1619957800
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202006889 Issued in VA
Practice address
6425 Richmond Rd
Williamsburg, VA 23188-7202
Phone
(757) 585-7176
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 7657 FL
Speech-Language Pathologist 235Z00000X 2202006889 VA Primary

Addresses

Primary practice location

6425 Richmond Rd
Williamsburg, VA 23188-7202

Mailing address

2529 Kings Creek Rd
Hayes, VA 23072-4325
Phone (678) 595-5558

Other identifiers 2

IdentifierTypeStateIssuer
S9150OtherFLBCBS
8901597-00MedicaidFL

Other names 1

  • Mrs. Beth-Ann Griesser Rau Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911003815 GA Practitioner - Qualified Speech Language Pathologist 8527422427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speech Clinic LLCGroup PAC ID 2062567928, 2 clinicians

Practice addresses (Care Compare)

106 Shoppers Way
Suite 112
Brunswick, GA 31525-0522
Phone (912) 554-3805

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA 7657FLMDSpeech-Language Pathologist
2202006889VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Clinic LLC Speech-Language Pathologist CurrentSince Jun 10, 2023 Accepting new patients

Locations

106 Shoppers Way
Ste 112
Brunswick, GA 31525
Phone (912) 554-3805

303 Pineview Dr
Waycross, GA 31501
Phone (912) 283-0777

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1619957800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 KINGS CREEK RD",
            "city": "HAYES",
            "state": "VA",
            "postal_code": "230724325",
            "telephone_number": "678-595-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 RICHMOND RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887202",
            "telephone_number": "757-585-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSWEENEY",
        "first_name": "BETH-ANN",
        "middle_name": "GRIESSER",
        "name_prefix": "Mrs.",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7657",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202006889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S9150",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901597-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH-ANN",
            "last_name": "RAU",
            "middle_name": "GRIESSER",
            "prefix": "MRS.",
            "credential": "M.ED, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.