Robyn Davis Weidler, M.ED.,CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007369 Issued in GA

Practice address

221 Sidney Lanier Ave
Athens, GA 30607-6549

Phone

(478) 230-1578

NPI assigned

Mar 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Milestone Pediatric Therapy Services, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jefferson, GA
  • NPI 1679915284
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1639468804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SIDNEY LANIER AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306076549",
            "telephone_number": "478-230-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SIDNEY LANIER AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306076549",
            "telephone_number": "478-230-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDLER",
        "first_name": "ROBYN",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "M.ED.,CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Weaver
• Whitney L Webb, M.D.
• Doneille Michell Webster
• Marion Dudley Weems, MD
• Fanie Wehmanen
• Terri Weimorts, LPC
• Kendall Poppell Weinberg, LPC
• Thomas Weiner, MBBS
• Tara Weiszer, PHD
• Ann Weitzman-Swain, PH.D.

• Speech-Language Pathologist in Athens, GA
• Providers in Athens, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.