NPIMap

Organization Active NPI

Amerimed Therapy

  • Speech-Language Pathologist
  • Valdosta, GA
National Provider Identifier
1750770970
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008702 Issued in GA
Legal business name
AMERIMED THERAPY
Practice address
2209 S Sherwood Dr
Valdosta, GA 31602-2234
Phone
(229) 415-3301
NPI assigned
Jan 12, 2015
Last updated
Jan 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ana Maria AllenNPI 1992100937
Title
President
Phone
(229) 415-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP008702 GA Primary

Addresses

Primary practice location

2209 S Sherwood Dr
Valdosta, GA 31602-2234

Mailing address

2209 S Sherwood Dr
Valdosta, GA 31602-2234
Phone (229) 415-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150615001454 GA Part B Supplier - Clinic/Group Practice 0244541456 Receives reassigned benefits from 8 practitioners
Practice locations: Valdosta, GA

National Provider Directory

National Provider Directory

Locations

3322 Greystone Way
Ste B
Valdosta, GA 31605
Phone (229) 247-3335

809 N Patterson St
Valdosta, GA 31601
Phone (229) 469-6932

1701 Boulevard Sq
Ste F
Waycross, GA 31501
Phone (229) 469-6932

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1750770970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S SHERWOOD DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022234",
            "telephone_number": "229-415-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S SHERWOOD DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022234",
            "telephone_number": "229-415-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIMED THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-415-3301"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.