Active NPI
Teresa Terri D Wofford, MS CCC-SLP
- Speech-Language Pathologist
- Hartwell, GA
National Provider Identifier
1801101241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 006682
- Practice address
- 456 Tuscarora TR.
Hartwell, GA 30643 - Phone
- (706) 969-2631
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 006682 | GA | Primary |
Addresses
Primary practice location
456 Tuscarora TR.
Hartwell, GA 30643
Mailing address
456 Tuscarora TR.
Hartwell, GA 30643
Phone (706) 969-2631
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wyoming | Past | 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 and National Provider Directory roles.
-
dba Albany Community Health Clinic
- Federally Qualified Health Center (FQHC)
- Laramie, WY
- NPI 1639617061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1801101241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 TUSCARORA TR.",
"city": "HARTWELL",
"state": "GA",
"postal_code": "30643",
"telephone_number": "706-969-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 TUSCARORA TR.",
"city": "HARTWELL",
"state": "GA",
"postal_code": "30643",
"telephone_number": "706-969-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOFFORD",
"first_name": "TERESA TERRI",
"middle_name": "D",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "006682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartwell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.