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Tera Lynn Dozier Walters , MS, CCC-SLP

Speech-Language Pathologist β€’ Lucedale, MS

Active NPI 1134490196 Individual Practitioner Female Practitioner
Practice location in NPPES

110 Amber Ln
Lucedale, MS 394528623

Call 2516809686 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 Amber Ln

Lucedale, MS 394528623

Telephone 2516809686
Organization at the Same NPPES Address or Phone
Tera Walters Therapy Llc Facility NPI 1801367107

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 1 additional practice-address record in Mobile, AL. 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

2012

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 Lucedale and Mississippi

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

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: 2025-02-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES AL 3432

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 MS S4993

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

Secondary Practice Locations

9993 Lifeline Ct

Mobile, AL 366088527

Phone: 2516809686

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 February 27, 2025

Registered at 110 AMBER LN, LUCEDALE, MS 394528623 (Tel: 2516809686)

πŸ“
Updated Business Mailing Address February 27, 2025

Registered at 148 RIDGE HILL DR, LUCEDALE, MS 394522838 (Tel: 2516809686)

πŸ‘€
Provider Name / Credentials Updated February 27, 2025

Recorded as TERA LYNN WALTERS, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Speech-Language Pathologist (license number reported to NPPES: MS S4993)

πŸ”„
NPI Profile Reactivated February 13, 2025

Record officially reactivated for active practice on February 13, 2025

⚠️
NPI Profile Deactivated November 18, 2024

NPPES lists this NPI as deactivated as of November 18, 2024; the reason is not published.

βœ…
NPI Profile Active January 23, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 23, 2012

Registered at 9031 BRYN MAWR CIR, FORT SMITH, AR 729088918 (Tel: 2516809686)

πŸ“
Business Mailing Address (Initial Record) January 23, 2012

Registered at 9031 BRYN MAWR CIR, FORT SMITH, AR 729088918 (Tel: 2516809686)

πŸ‘€
Provider Name / Credentials (Initial Record) January 23, 2012

Recorded as TERA LYNN WALTERS, M.S., CFY-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2012

Speech-Language Pathologist (license number reported to NPPES: AR SP#P8489)

🟒
Initial NPI Registration & Enumeration January 23, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134490196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2012
Last Update: February 27, 2025
Sole Proprietor: Yes

Mailing Address

148 Ridge Hill Dr

Lucedale, MS 394522838

Phone: 2516809686

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.