Active NPI
Savannah River Speech & Cognitive Therapy LLC
- Speech-Language Pathologist
- North Augusta, SC
National Provider Identifier
1780394684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SAVANNAH RIVER SPEECH & COGNITIVE THERAPY LLC
- Practice address
- 203 Heil Dr
North Augusta, SC 29841-2834 - Phone
- (912) 281-9206
- NPI assigned
- Dec 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirsten Williams, CCC-SLP
- Title
- Owner
- Phone
- (912) 281-9206
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
203 Heil Dr
North Augusta, SC 29841-2834
Mailing address
203 Heil Dr
North Augusta, SC 29841-2834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687219200000",
"number": "1780394684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HEIL DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298412834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 HEIL DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298412834",
"telephone_number": "912-281-9206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAVANNAH RIVER SPEECH & COGNITIVE THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-01",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIRSTEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-281-9206",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.