Active NPI
Belinda A. Odell, SLP
- Speech-Language Pathologist
- Talking Rock, GA
National Provider Identifier
1851385256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP005622
- Practice address
- 25 Fox Den CT
Talking Rock, GA 30175-7238 - Phone
- (912) 223-0967
- Fax
- (706) 698-1007
- NPI assigned
- Aug 31, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA9735 | FL | |
| Speech-Language Pathologist | 235Z00000X | SLP005622 | GA | Primary |
Addresses
Primary practice location
25 Fox Den CT
Talking Rock, GA 30175-7238
Mailing address
25 Fox Den CT
Talking Rock, GA 30175-7238
Phone (912) 223-0967
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155808701A | Medicaid | GA | |
| 001029800 | Medicaid | FL | |
| 001989100 | Medicaid | FL | |
| 155808701D | Medicaid | GA | |
| 155808701C | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA9735 | FL | MD | Speech-Language Pathologist |
| SLP005622 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belinda Burroughs, Inc. | Speech-Language Pathologist | 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.
-
- Speech-Language Pathologist
- Saint Simons Island, GA
- NPI 1295266658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685577600000",
"number": "1851385256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 FOX DEN CT",
"city": "TALKING ROCK",
"state": "GA",
"postal_code": "301757238",
"telephone_number": "912-223-0967",
"fax_number": "706-698-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FOX DEN CT",
"city": "TALKING ROCK",
"state": "GA",
"postal_code": "301757238",
"telephone_number": "912-223-0967",
"fax_number": "706-698-1007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODELL",
"first_name": "BELINDA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9735",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155808701A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001029800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001989100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155808701D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155808701C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Talking Rock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.