Madison Tate Edwards, MS. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.8927 Issued in SC

Practice address

500 Downs Loop
Clemson, SC 29631-2035

Phone

(864) 654-1155

NPI assigned

May 13, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1871230698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POND ST",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048500",
            "telephone_number": "828-774-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOWNS LOOP",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312035",
            "telephone_number": "864-654-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1287 Newsome St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270305439",
            "country_code": "US",
            "telephone_number": "919-449-4176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MADISON",
        "middle_name": "TATE",
        "credential": "MS. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "SLP.8927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Christina Duffy, M.D.
• William Dukes Jr., MD
• Andrea T Eaton
• Damon Eric Edmond Jr., ATC
• Edwards ABA LLC
• Wesley Edwards
• Carolina Effinger, DPT
• Kirby Elmy
• Alyssa Enck, PSYD
• Jennifer Esker, NP

• Speech-Language Pathologist in Clemson, SC
• Providers in Clemson, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.