Organization Active NPI

Savannah River Speech & Cognitive Therapy LLC

  • Speech-Language Pathologist
  • North Augusta, SC
National Provider Identifier
1780394684
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Kirsten Williams, CCC-SLPNPI 1902465800
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230118002204 SC Part B Supplier - Clinic/Group Practice 2062883671 Receives reassigned benefits from 1 practitioner
Practice locations: North Augusta, SC
O20230208001730 GA Part B Supplier - Clinic/Group Practice 2062883671 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.