Active NPI
Emily Bennett Barefield, CCC-SLP
- Speech-Language Pathologist
- Waycross, GA
National Provider Identifier
1629692686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011424
- Practice address
- 303 Pineview Dr
Waycross, GA 31501-5229 - Phone
- (912) 283-0777
- NPI assigned
- Jun 4, 2020
- Last updated
- Apr 6, 2022
- 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 | PCET003093 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP011424 | GA | Primary |
Addresses
Primary practice location
303 Pineview Dr
Waycross, GA 31501-5229
Mailing address
6338 Riverwoods Dr
Blackshear, GA 31516-4661
Phone (912) 614-4774
Other names 1
- Emily Anne Bennett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET003093 | GA | MD | Speech-Language Pathologist |
| SLP011424 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Clinic LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Speech-Language Pathology Contractors, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
106 Shoppers Way
Ste 112
Brunswick, GA 31525
Phone (912) 554-3805
1507 Alice St
Waycross, GA 31501
Phone (912) 283-7220
303 Pineview Dr
Waycross, GA 31501
Phone (912) 283-0777
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.
-
- Speech-Language Pathologist
- Waycross, GA
- NPI 1952417909
-
- Speech-Language Pathologist
- Waycross, GA
- NPI 1386871887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1629692686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6338 RIVERWOODS DR",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315164661",
"telephone_number": "912-614-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PINEVIEW DR",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315015229",
"telephone_number": "912-283-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAREFIELD",
"first_name": "EMILY",
"middle_name": "BENNETT",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET003093",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "BENNETT",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waycross, GA
- Michael P Baker, M.D.
- Courtney Baldwin, CSA
- Hannah Harper Banach, NP-C
- Rong Bao, M.D.
- Baptist Village, Inc.
- Barjinder Singh MD PC (South Georgia Oncology Hematology Center)
- Barnes Drug Stores of Valdosta, Inc (Barnes Healthcare Services)
- Larry L. Batten, R.PH.
- Beacon Pediatrics (David H. Cheatham, M.D.,P.C.)
- James Harworth Beale, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.