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Lisa Williams , M ED CCC, SLP

Speech-Language Pathologist β€’ Douglas, GA

Active NPI 1558738062 Individual Practitioner Female Practitioner
Practice location in NPPES

618 Bowens Mill Rd Sw
Douglas, GA 315333926

Call 9123310846 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

618 Bowens Mill Rd Sw

Douglas, GA 315333926

Telephone 9123310846
Fax 6787924894
Organization at the Same NPPES Address or Phone
The Speech & Swallowing Clinic, Llc Facility NPI 1306026497

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 4 distinct additional practice-address records in Baxley, GA; Fitzgerald, GA; Hazlehurst, GA and 1 more. See the list

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

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

NPI first issued

2015

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in Douglas and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Douglas

0% of these 30 clinicians have the CMS telehealth indicator.

6.7% of these 30 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: 2021-03-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA SLP008831

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
003171926B (GA)

Secondary Practice Locations

611 S Grant St

Fitzgerald, GA 317503377

Phone: 9123310846

510 S Main St Ste B

Baxley, GA 315130183

Phone: 9123310846

607 Jackson St

Vidalia, GA 304744721

Phone: 9123310846

38 S Tallahassee St

Hazlehurst, GA 315396261

Phone: 9123310846

Career & Practice History Timeline

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

15 Historical Events
πŸ“
Updated Practice Location March 02, 2021

Registered at 618 BOWENS MILL RD SW, DOUGLAS, GA 315333926 (Tel: 9123310846)

βœ…
NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 04, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

πŸ“
Updated Business Mailing Address October 04, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

πŸ‘€
Provider Name / Credentials Updated October 04, 2017

Recorded as LISA WILLIAMS, M ED CCC/SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Speech-Language Pathologist (license number reported to NPPES: GA SLP008831)

πŸ“
Updated Practice Location May 08, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

πŸ“
Updated Business Mailing Address May 08, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

πŸ‘€
Provider Name / Credentials Updated May 08, 2017

Recorded as LISA WILLIAMS, M ED CCC/SLP

βœ…
NPI Profile Active September 01, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 01, 2015

Registered at 510 WEST ASHLEY STREET, DOUGLAS, GA 31533 (Tel: 9123459905)

πŸ“
Business Mailing Address (Initial Record) September 01, 2015

Registered at 1206 HABERSHAM WAY, DOUGLAS, GA 31533 (Tel: 9123459905)

πŸ‘€
Provider Name / Credentials (Initial Record) September 01, 2015

Recorded as LISA WILLIAMS, MED

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2015

Speech-Language Pathologist (license number reported to NPPES: GA SLP008831)

🟒
Initial NPI Registration & Enumeration September 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1558738062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2015
Last Update: March 02, 2021
Sole Proprietor: No

Mailing Address

118 Pearl Ave N

Douglas, GA 315334632

Phone: 9123310846

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.