MRS. AINSLEY P. VERGARA M.ED., CCC-SLP
NPI 1043733280
Speech-Language Pathologist in Athens, GA

Active since July 19, 2017Accepts Medicare Assignment
110 CARLTON ST., 593 ADERHOLD, ATHENS, GA 30602(706) 542-4598 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2018, Jul 19, 2017 (2 updates tracked since 2017).

About Mrs. Ainsley P. Vergara M.ed., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AINSLEY P. VERGARA M.ED., CCC-SLP (NPI 1043733280) is an individual speech-language pathologist provider in Athens, Georgia, licensed in Arizona (SLP10644) and active in the NPI registry since July 2017. She maintains 2 additional practice locations and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043733280
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. AINSLEY P. VERGARACredential: M.ED., CCC-SLP
Location Address110 CARLTON ST., 593 ADERHOLDAthens, GA 30602
Mailing Address209 Hidden Spring WayAthens, GA 30605-5746 · (478) 357-5353
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 19, 2017
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1043733280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in AZ · SLP10644
Definition
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.
110 CARLTON ST., Athens, GA 30602

Other Names 1

Former Name (1)Ainsley Nicole P M.ed., Cf-slp

Secondary Practice Locations 2

Location 17677 W Bethany Home RdGlendale, AZ 85303-4211 · Phone (478) 357-5353
Location 27355 W Orangewood AveGlendale, AZ 85303 · Phone (478) 357-5353

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ainsley P. Vergara M.ed., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547590754
PECOS Enrollment IDI20220818001440

Medicare Billing Reassignments

4

Medicare enrollment records show Ainsley Vergara reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Audiologist
110 CARLTON ST. 593 ADERHOLD HALL
Athens, GA 30602
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
Primary Care
824 S SAN FRANCISCO ST, BLDG 25 NORTHERN ARIZONA UNIVERSITY CAMPUS
Flagstaff, AZ 86011
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Northern Arizona University
  • 17 clinicians in this Medicare group
Home Health
2830 E BROWN RD STE 1
Mesa, AZ 85213
  • Reassigned Medicare billing, Arizona enrollment
  • 50 clinicians in this Medicare group
Occupational Therapist
9385 W DONALD DR
Peoria, AZ 85383
  • Reassigned Medicare billing, Arizona enrollment
  • 95 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
110 CARLTON ST., ADERHOLD HALL, UNIVERSITY OF GEORGIA
ATHENS, GA 30602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ainsley Vergara's NPI number?

The NPI number for Ainsley Vergara is 1043733280. It was assigned to this individual provider in the NPPES registry on July 19, 2017. The provider is also known as Ainsley Nicole P M.Ed., Cf-Slp.

Where is Ainsley Vergara located?

Ainsley Vergara practices at 110 Carlton St. 593 Aderhold, Athens, GA 30602. The listed phone number is (706) 542-4598.

What is Ainsley Vergara's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Ainsley Vergara enrolled in Medicare?

Yes. Ainsley Vergara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ainsley Vergara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ainsley Vergara reassigns Medicare benefits to 4 organizations: Board Of Regents Of The University System Of Georgia (Athens, GA), Az Bd Of Regents For On Behalf Of Northern Az University (Flagstaff, AZ), Heartland Therapy, Inc. (Mesa, AZ) and Theracare PLLC (Peoria, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ainsley Vergara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ainsley Vergara was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.