Individual provider Active NPI

Sophia Guzman-Roman

  • Speech-Language Pathologist
  • Bainbridge, GA
National Provider Identifier
1912836313
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP014099 Issued in GA
Practice address
502 Wheat Ave
Bainbridge, GA 39819-4325
Phone
(229) 246-4088
Fax
(229) 246-0205
NPI assigned
May 14, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP014099 GA Primary

Addresses

Primary practice location

502 Wheat Ave
Bainbridge, GA 39819-4325

Mailing address

502 Wheat Ave
Bainbridge, GA 39819-4325
Phone (229) 246-4088

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

LicenseStateTypeSpecialty
SLP014099GAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1912836313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WHEAT AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194325",
            "telephone_number": "229-246-4088",
            "fax_number": "229-246-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WHEAT AVE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194325",
            "telephone_number": "229-246-4088",
            "fax_number": "229-246-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-ROMAN",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP014099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.