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Kayla Edwards , CCC-SLP

Speech-Language Pathologist β€’ Vidalia, GA

Active NPI 1386397347 Individual Practitioner Female Practitioner
Practice location in NPPES

303 Harris Industrial Blvd Ste 5
Vidalia, GA 304748854

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

303 Harris Industrial Blvd Ste 5

Vidalia, GA 304748854

Telephone 9123310846
Fax 6787924894
Organization at the Same NPPES Address or Phone
Southeast Regional Primary Care Corporation Facility NPI 1053814434

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

NPI first issued

2022

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 Vidalia and Georgia

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

Addresses are self-reported to NPPES and may be out of date.

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: 2023-03-13
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA SLP012477

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES GA PCET003524

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

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
Daniel Hartley

Nurse Practitioner

NPI 1275085508
Ciara Haugabrook , NP

Nurse Practitioner

NPI 1629608492

Nurse Practitioner

Colleen Kerrigan , PA

Physician Assistant

NPI 1679137038

Physician Assistant

Steven Lashley , FNP

Nurse Practitioner

NPI 1841855285

Family Nurse Practitioner

Dr. Timothy Osborne , MD

Emergency Medicine

NPI 1508090366

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location March 13, 2023

Registered at 303 HARRIS INDUSTRIAL BLVD STE 5, VIDALIA, GA 304748854 (Tel: 9123310846)

πŸ‘€
Provider Name / Credentials Updated March 13, 2023

Recorded as KAYLA EDWARDS, CCC-SLP

βœ…
NPI Profile Active January 31, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 31, 2022

Registered at 278 S MAIN ST, BAXLEY, GA 315130102 (Tel: 9123310846)

πŸ“
Business Mailing Address (Initial Record) January 31, 2022

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

πŸ‘€
Provider Name / Credentials (Initial Record) January 31, 2022

Recorded as KAYLA DAVIS, M.ED CF-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2022

Speech-Language Pathologist (license number reported to NPPES: GA PCET003524)

🟒
Initial NPI Registration & Enumeration January 31, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386397347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2022
Last Update: March 13, 2023
Sole Proprietor: No

Mailing Address

618 Bowens Mill Rd Sw

Douglas, GA 315333926

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.