Individual provider Active NPI

Megan Gibson Dewberry, CCC-SLP

  • Speech-Language Pathologist
  • Lexington, SC
National Provider Identifier
1760900310
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6372 Issued in SC
Practice address
714 S Lake Dr Ste 150
Lexington, SC 29072-3473
Phone
(803) 356-4782
Fax
(803) 996-4782
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6372 SC Primary

Addresses

Primary practice location

714 S Lake Dr Ste 150
Lexington, SC 29072-3473

Mailing address

181 Town Creek Rd
Aiken, SC 29803-5841
Phone (803) 642-0700

Other practice location 1

181 Town Creek Rd
Aiken, SC 29803
Phone (803) 642-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6372SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Therapy of Aiken, LLC PastSince Dec 13, 2022 Accepting new patients
Pediatric Therapy of Aiken, LLC Speech-Language Pathologist PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760900310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S LAKE DR STE 150",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723473",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Town Creek Rd",
            "address_purpose": "LOCATION",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29803",
            "country_code": "US",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWBERRY",
        "first_name": "MEGAN",
        "middle_name": "GIBSON",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.