Kelly Matthews, SLP SPEECH THERAPIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004877 Issued in GA

Practice address

118 Herron Street
Ft Oglethorpe, GA 30742

Phone

(706) 861-7471

Fax

(706) 861-7472

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Weston Group Inc.

  dba The Weston Health Care Group Inc

  • Physical Therapist
  • Acworth, GA
  • NPI 1841309101

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD
• North Georgia Pediatric Therapies, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1447499132

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861554222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HERRON STREET",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-861-7471",
            "fax_number": "706-861-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HERRON STREET",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-861-7471",
            "fax_number": "706-861-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "KELLY",
        "name_prefix": "Miss",
        "credential": "SLP SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10052439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "339855",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00929596A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52068699001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4038426",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Hart Manning, RPH
• William Timothy Marlow, PT
• Alan P Martin, PA-C
• Yissy Coralia Martinez, FNP-C
• Jamie Masyk, BS, DC
• Angelia Dawson McBee, LPN
• Michael Dorian McBride, M.D.
• Kelley Ann McCahill, CADC II, LPC
• Elizabeth Haynes McClure, OTD, OTR/L
• Jason McCurry, CF-SLP

• Speech-Language Pathologist in Fort Oglethorpe, GA
• Providers in Fort Oglethorpe, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.