Individual provider Active NPI

Sarah Vanselous Spencer, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1952757585
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30003151 Issued in NC
Practice address
5501 Fortunes Ridge Dr Ste a
Durham, NC 27713-6102
Phone
(919) 419-1449
Fax
(919) 419-1399
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X GA
Speech-Language Pathologist 235Z00000X 30003151 NC Primary

Addresses

Primary practice location

5501 Fortunes Ridge Dr Ste a
Durham, NC 27713-6102

Mailing address

5221 Paramount Pkwy Ste 420
Morrisville, NC 27560-5491
Phone (984) 974-1281

Other names 1

  • Sarah Vanselous Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170622001648 GA Practitioner - Qualified Speech Language Pathologist 8325316961 Reassigns benefits to 1 organization
I20250312001537 NC Practitioner - Qualified Speech Language Pathologist 8325316961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5501 Fortunes Ridge Dr
Suite a
Durham, NC 27713-6102
Phone (919) 419-1449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30003151NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Auditory Verbal Center Inc Speech-Language Pathologist CurrentSince Apr 13, 2017 Accepting new patients
Auditory Verbal Center Inc CurrentSince May 1, 2022 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Dec 16, 2024 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1875 Century Blvd NE
Ste 200
Atlanta, GA 30345
Phone (404) 633-8911

1901 Century Blvd NE
Ste 20
Atlanta, GA 30345
Phone (404) 633-8911

277 Martin Luther King Jr Blvd
Ste 104
Macon, GA 31201
Phone (478) 741-0019

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5501 Fortunes Ridge Dr
Ste A
Durham, NC 27713
Phone (919) 419-1449

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Organizations & group practices 4

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1952757585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 420",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605491",
            "telephone_number": "984-974-1281",
            "fax_number": "404-633-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 FORTUNES RIDGE DR STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136102",
            "telephone_number": "919-419-1449",
            "fax_number": "919-419-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SARAH",
        "middle_name": "VANSELOUS",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "VANSELOUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.