Kelly Nicole Giddens, M.ED CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1373774 Issued in GA

Practice address

6220 Grove St
Lula, GA 30554-2942

Phone

(770) 653-1707

NPI assigned

Feb 12, 2019

Last updated

Apr 30, 2025By the provider in NPPES

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

Other names 1

• Kelly Lunsford Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Dawsonville, GA
  • NPI 1528419751

  Speech-Language Pathologist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1689130940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 GROVE ST",
            "city": "LULA",
            "state": "GA",
            "postal_code": "305542942",
            "telephone_number": "770-653-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 GROVE ST",
            "city": "LULA",
            "state": "GA",
            "postal_code": "305542942",
            "telephone_number": "770-653-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "KELLY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "M.ED CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "1373774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LUNSFORD",
            "credential": "M. ED CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chloe Marie Drennan
• Tonya Leigh Ellis, PHARMD.
• Madeline Elizabeth Folz, MS, RD, LD
• Georgia Mountain Community Services (Avita Community Partners)
• Georgia Mountains Community Services
• Amber Gilbert, OTRL
• Audra Barr Hawkins, LPC
• Amy Miller
• North Georgia Upper Cervical Clinics
• Kelsey Grace Ondriezek, LPC

• Speech-Language Pathologist in Lula, GA
• Providers in Lula, 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 Apr 30, 2025; 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.

Verify at the official NPI Registry.