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Kelly Lynn Wilson

Speech-Language Pathologist β€’ Fort Benning, GA

Active NPI 1710290184 Individual Practitioner Female Practitioner
Practice location in NPPES

6600 Van Aalst Blvd Bldg 9250
Fort Benning, GA 319052102

Call 7065455560 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

6600 Van Aalst Blvd Bldg 9250

Fort Benning, GA 319052102

Telephone 7065455560
Organization at the Same NPPES Address or Phone
Ach Martin-Benning Facility NPI 1194730846

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

NPI first issued

2010

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Benning and Georgia

4 active clinicians are listed under Speech-Language Pathologist with a practice address in Fort Benning, GA (4,832 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2026-08-26
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA13784

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
214307501 (TX)
Other Identifier Blue Cross Blue Shield
80S945 (TX)

Clinicians Sharing This Practice Address or Phone

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

5 listed
Dr. Tanner Moore , MD

Family Medicine

NPI 1467972935

Doctor of Medicine (M.D.)

Meghan Reed

Nurse Practitioner - Psychiatric/Mental Health

NPI 1780182063
Randall Sides , PT

Physical Therapist

NPI 1386173961

Physical Therapist

Dr. Ralphine Whitfield , DNP, PharmD, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1861621922

Doctor of Nursing Practice, Doctor of Pharmacy (Pharm.D.), Psychiatric-Mental Health Nurse Practitioner

Dr. Ross Zbar , MD

Plastic Surgery

NPI 1912996885

Doctor of Medicine (M.D.)

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 August 26, 2026

Registered at 6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 319052102 (Tel: 7065455560)

πŸ“
Updated Business Mailing Address August 26, 2026

Registered at 6600 VAN AALST BLVD BLDG 9250, FORT BENNING, GA 319052102 (Tel: 7065455560)

πŸ“
Updated Practice Location December 13, 2023

Registered at 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 319052102 (Tel: 7065457308)

πŸ“
Updated Business Mailing Address December 13, 2023

Registered at 6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 319052102 (Tel: 7065457308)

βœ…
NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 24, 2017

Registered at 52D MEDICAL GROUP, UNIT 3690, APO, AE 091263690 (Tel: 496565613184)

πŸ“
Updated Business Mailing Address January 24, 2017

Registered at 52D MEDICAL GROUP, UNIT 3690, APO, AE 091263690 (Tel: 496565613184)

πŸ‘€
Provider Name / Credentials Updated January 24, 2017

Recorded as KELLY WILSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Speech-Language Pathologist (license number reported to NPPES: FL SA13784)

βœ…
NPI Profile Active October 01, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 01, 2014

Registered at 250 SANTA FE DR, WEATHERFORD, TX 760866585 (Tel: 8175505058)

πŸ“
Business Mailing Address (Initial Record) October 01, 2014

Registered at 5914 DRY CREEK LN, ARLINGTON, TX 760173938 (Tel: 2147897891)

πŸ‘€
Provider Name / Credentials (Initial Record) October 01, 2014

Recorded as KELLY WILSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2014

Speech-Language Pathologist (license number reported to NPPES: TX 105709)

🟒
Initial NPI Registration & Enumeration July 14, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710290184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2010
Last Update: August 26, 2026
Sole Proprietor: Yes

Mailing Address

6600 Van Aalst Blvd Bldg 9250

Fort Benning, GA 319052102

Phone: 7065455560

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.