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Ashley Ivy

Speech-Language Pathologist β€’ Brandon, MS

Active NPI 1831478676 Individual Practitioner Female Practitioner
Practice location in NPPES

1301 West Government Street, Suite 104
Brandon, MS 39042

Call 6015917535 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

1301 West Government Street
Suite 104

Brandon, MS 39042

Telephone 6015917535
Fax 6015917540

NPI first issued

2011

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 Brandon and Mississippi

51 active clinicians are listed under Speech-Language Pathologist with a practice address in Brandon, MS (1,502 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brandon

0% of these 51 clinicians have the CMS telehealth indicator.

7.8% of these 51 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: 2020-04-14
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MS S3609

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: Mississippi State Medical Licensing 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.

9 listed
Dr. Austin Coley , DPT

Physical Therapist

NPI 1952825192

Doctor of Physical Therapy

Candias Davis , PT

Physical Therapist

NPI 1417203779

Physical Therapist

Hayden Fortenberry , PT

Physical Therapist

NPI 1801429774

Physical Therapist

Wade Gaston , PT

Physical Therapist

NPI 1699867812

Physical Therapist

Dr. Rebekah Gautier , DPT

Physical Therapist

NPI 1649909581

Doctor of Physical Therapy

Gentry Mcmullan , SLP

Speech-Language Pathologist

NPI 1639743859

Speech-Language Pathologist

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location April 14, 2020

Registered at 1301 WEST GOVERNMENT STREET, SUITE 104, BRANDON, MS 39042 (Tel: 6015917535)

πŸ“
Updated Business Mailing Address April 14, 2020

Registered at 921 WEST BEACON STREET, PHILADELPHIA, MS 39350

πŸ‘€
Provider Name / Credentials Updated April 14, 2020

Recorded as ASHLEY IVY

βœ…
NPI Profile Active August 10, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 10, 2011

Registered at 4500 I 55 N, SUITE 291, JACKSON, MS 392115930 (Tel: 6013620870)

πŸ“
Business Mailing Address (Initial Record) August 10, 2011

Registered at 4500 I 55 N, SUITE 291, JACKSON, MS 392115930 (Tel: 6013620870)

πŸ‘€
Provider Name / Credentials (Initial Record) August 10, 2011

Recorded as ASHLEY GILBERT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2011

Speech-Language Pathologist (license number reported to NPPES: MS S3609)

🟒
Initial NPI Registration & Enumeration August 10, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831478676
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2011
Last Update: April 14, 2020
Sole Proprietor: No

Mailing Address

921 West Beacon Street

Philadelphia, MS 39350

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.