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Ainsley P. Vergara , MED, CCC-SLP

Speech-Language Pathologist β€’ Athens, GA

Active NPI 1043733280 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

110 Carlton St., 593 Aderhold
Athens, GA 30602

Call 7065424598 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

110 Carlton St.
593 Aderhold

Athens, GA 30602

Telephone 7065424598
Organization at the Same NPPES Address or Phone
Board Of Regents Of The University System Of Georgia Facility NPI 1376640557

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Glendale, AZ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Board Of Regents Of The University System Of Georgia. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ainsley Vergara has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Athens and Georgia

71 active clinicians are listed under Speech-Language Pathologist with a practice address in Athens, GA (4,745 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

0% of these 71 clinicians have the CMS telehealth indicator.

5.6% of these 71 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AZ SLP10644

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20220818001440

Enrollment State Jurisdiction

GA

PECOS Control ID

0547590754

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Board Of Regents Of The University System Of Georgia

110 Carlton St, Athens, GA 306021526

Phone: 7065424598

Secondary Practice Locations

7677 W Bethany Home Rd

Glendale, AZ 853034211

Phone: 4783575353

7355 W Orangewood Ave

Glendale, AZ 85303

Phone: 4783575353

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1669484150

Doctor of Philosophy (Ph.D.), CCCA

NPI 1184011678

Doctor of Audiology

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location April 24, 2023

Registered at 110 CARLTON ST., 593 ADERHOLD, ATHENS, GA 30602 (Tel: 7065424598)

πŸ“
Updated Business Mailing Address April 24, 2023

Registered at 209 HIDDEN SPRING WAY, ATHENS, GA 306055746 (Tel: 4783575353)

πŸ“
Updated Practice Location August 10, 2018

Registered at 7355 W ORANGEWOOD AVE, GLENDALE, AZ 85303 (Tel: 4783575353)

πŸ“
Updated Business Mailing Address August 10, 2018

Registered at 1920 E INDIAN SCHOOL RD APT 2074, PHOENIX, AZ 850166079 (Tel: 4783575353)

πŸ‘€
Provider Name / Credentials Updated August 10, 2018

Recorded as AINSLEY VERGARA, M.ED., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2018

Speech-Language Pathologist (license number reported to NPPES: AZ SLP10644)

βœ…
NPI Profile Active July 19, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 19, 2017

Registered at 7402 W CATALINA DR, PHOENIX, AZ 850335502 (Tel: 4783575353)

πŸ“
Business Mailing Address (Initial Record) July 19, 2017

Registered at 1100 E OSBORN RD APT 250, PHOENIX, AZ 850145262 (Tel: 4783575353)

πŸ‘€
Provider Name / Credentials (Initial Record) July 19, 2017

Recorded as AINSLEY PRICE, M.ED., CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2017

Speech-Language Pathologist (license number reported to NPPES: AZ TSLP10644)

🟒
Initial NPI Registration & Enumeration July 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043733280
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2017
Last Update: April 24, 2023
Sole Proprietor: No

Mailing Address

209 Hidden Spring Way

Athens, GA 306055746

Phone: 4783575353

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.