Pamela Ardis Thompson, M.ED., CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00855 Issued in GA

Practice address

10 Mall CT Ste B
Savannah, GA 31406-3691

Phone

(912) 351-4793

Fax

(888) 429-3741

NPI assigned

Nov 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1700958725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BARNETT DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314065234",
            "telephone_number": "912-356-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MALL CT STE B",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063691",
            "telephone_number": "912-351-4793",
            "fax_number": "888-429-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAMELA",
        "middle_name": "ARDIS",
        "credential": "M.ED., CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "00855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00619187D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elijah Thompson, RBT
• Evan Anthony Thompson, PA-C
• Jordan Ann Thompson
• Katanya Nicole Thompson, CNA
• Orlando Thompson
• Tanisha Thompson, COSMETOLOGIST
• Taylor Thompson, PT
• Terriny Thompson
• Veronica Thompson, DO
• Victoria Lynne Thompson, PA-C

• Speech-Language Pathologist in Savannah, GA
• Providers in Savannah, 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 May 20, 2013; 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.