Active NPI
Molly E Gentry, M/SLP
- Speech-Language Pathologist
- Myrtle Beach, SC
National Provider Identifier
1750746467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 20200846
- Practice address
- 1226 Ambling Way Dr
Myrtle Beach, SC 29579-7524 - Phone
- (443) 604-7943
- NPI assigned
- Dec 22, 2015
- Last updated
- Feb 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6861 | SC | |
| Speech-Language Pathologist | 235Z00000X | 20200846 | VA | Primary |
Addresses
Primary practice location
1226 Ambling Way Dr
Myrtle Beach, SC 29579-7524
Mailing address
1226 Ambling Way Dr
Myrtle Beach, SC 29579-7524
Phone (443) 604-7943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4978218 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 Cottage Dr
Murrells Inlet, SC 29576-7877
Phone (843) 936-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6861 | SC | MD | Physical Therapist |
| 20200846 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Speech Therapy and Consulting LLC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Murrells Inlet, SC
- NPI 1245748086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1750746467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 AMBLING WAY DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295797524",
"telephone_number": "443-604-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 AMBLING WAY DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295797524",
"telephone_number": "443-604-7943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "MOLLY",
"middle_name": "E",
"credential": "M/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-22",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "6861",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "20200846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4978218",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
- Lori A Gaumond, PTA
- Korreda Gause, PA-C
- Ritika Gautam, MD
- Katie Geddings
- Christiana Opeyemi Gentry, MD
- Georgetown Hospital Home Health LLC (Amedisys Home Health of Myrtle Beach)
- Georgetown Memorial Hospital (Tidelands Health Pediatric Rehabilitation Services at Myrtle Beach)
- Georgetown Physician Associates, LLC (Tidelands Health Pediatrics)
- Georgetown Physician Associates, LLC (Tidelands Health Rehabilitation Services)
- Georgetown Physician Associates, LLC (Tidelands Health ENT Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.