Individual provider Active NPI

Katherine Tyeryar Rhinehart, MA, CCC-SLP

  • Speech-Language Pathologist
  • Augusta, GA
National Provider Identifier
1942999644
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30001621 Issued in NC
Practice address
1446 Harper St
Augusta, GA 30912-0012
Phone
(706) 721-5437
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 30001621 NC Primary

Addresses

Primary practice location

1446 Harper St
Augusta, GA 30912-0012

Mailing address

5614 Locke St Apt 306
Wilmington, NC 28403-1973
Phone (703) 772-8211

Other names 1

  • Katherine Ann Tyeryar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311000578 GA Practitioner - Qualified Speech Language Pathologist 8224474499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
30001621NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Center, Inc. CurrentSince Jan 30, 2024 Accepting new patients
Au Medical Center, Inc CurrentSince Jan 30, 2024 Accepting new patients
Au Medical Associates Inc Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Aug 17, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients

Locations

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1446 Harper St
Augusta, GA 30912
Phone (706) 721-5223

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1942999644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 LOCKE ST APT 306",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031973",
            "telephone_number": "703-772-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 HARPER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120012",
            "telephone_number": "706-721-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHINEHART",
        "first_name": "KATHERINE",
        "middle_name": "TYERYAR",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "TYERYAR",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.