Active NPI
Dalzell Ginn McDilda, M.ED.CCC-SLP
- Speech-Language Pathologist
- Georgetown, SC
National Provider Identifier
1649412123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2238
- Practice address
- 606 Black River Rd
Georgetown, SC 29440-3304 - Phone
- (843) 651-1938
- Fax
- (843) 651-3669
- NPI assigned
- Mar 31, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2238 | SC | Primary |
Addresses
Primary practice location
606 Black River Rd
Georgetown, SC 29440-3304
Mailing address
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 651-1938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2238 | Other | SC | SPEECH-LANGUAGE PATHOLOGIST LICENSE |
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 |
|---|---|---|---|
| 2238 | SC | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1649412123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 BLACK RIVER RD",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403304",
"telephone_number": "843-651-1938",
"fax_number": "843-651-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BLACK RIVER RD",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294403304",
"telephone_number": "843-651-1938",
"fax_number": "843-651-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDILDA",
"first_name": "DALZELL",
"middle_name": "GINN",
"name_prefix": "Mrs.",
"credential": "M.ED.CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-31",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "2238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGIST LICENSE",
"identifier": "2238",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, SC
- Brian L Maxwell, CACII, NCACI
- Eugene V Mayeaux II, M.D.
- Walter A. Mayo, O.D.
- McCrea Ewart MD PA (Georgetown Vascular Associate)
- McCrea Ewart MD PA (Low Country Surgical Associates)
- Deborah R. McKee, C.N.M.
- Edna Elizabeth McMillan, RN, BSN,CDE
- Jeffrey David Meinert
- Mending Bridges Case Management
- Andrew Merritt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.