Kelly Phillips, SLP

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLP003034 Issued in GA

Practice address

713 E Shotwell St
Bainbridge, GA 39819-4063

Phone

(229) 246-4088

Fax

(229) 243-0200

NPI assigned

Mar 27, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Regional Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Moultrie, GA
  • NPI 1528024387
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932169489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194063",
            "telephone_number": "229-246-4088",
            "fax_number": "229-243-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194063",
            "telephone_number": "229-246-4088",
            "fax_number": "229-243-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KELLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "GA",
            "license": "SLP003034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00919718A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shweta Anand Patel, DPT
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• Philip Todaro, D.O., P.C.
• Jerry David Phillips Jr., M.D.
• Port City Family Dental Associates
• Port City Family Medicine, L.L.C.
• Port City Medical Associates Inc
• Port City Pulmonary Care, Inc.
• Port City Urgent Care L.L.C.

• Speech-Language Assistant in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Speech-Language Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.