Heidi Allyn Spikes

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP012960 Issued in GA

Practice address

515 Peterson Ave S Ste B
Douglas, GA 31533-5244

Phone

(912) 501-4047

NPI assigned

Mar 27, 2024

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• South Georgia Therapy Center

  • Speech-Language Pathologist
  • Douglas, GA
  • NPI 1861030157
  NPD

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1679324909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 ELAM HARPER CEMETERY RD",
            "city": "WRAY",
            "state": "GA",
            "postal_code": "317984748",
            "telephone_number": "912-850-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PETERSON AVE S STE B",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315335244",
            "telephone_number": "912-501-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIKES",
        "first_name": "HEIDI",
        "middle_name": "ALLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Community Services Inc
• Southern Gastroenterology& Hepatology Consultants Inc
• Southern Senior Living
• Southern Sleepers Anesthesia LLC
• Southern Speech Solutions LLC
• Jennifer Spivey
• Kameryn Spivey
• Sarah Olivia Shae Spivey, FNP
• Tara Roberts Spivey, PA-C, MPAS
• Elizabeth G Stevens, LMT

• Speech-Language Pathologist in Douglas, GA
• Providers in Douglas, 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 27, 2024; 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.