SPEECH PATHOLOGY ASSOCIATES OF SOUTH EAST GEORGIA, PC
NPI 1083727325
Speech-Language Pathologist in Blackshear, GA

Active since August 17, 2006
2976 US HIGHWAY 84, BLACKSHEAR, GA 31516(912) 807-8255(912) 807-8256 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Speech Pathology Associates Of South East Georgia, Pc NPPES

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

SPEECH PATHOLOGY ASSOCIATES OF SOUTH EAST GEORGIA, PC (NPI 1083727325) is a healthcare organization registered as a speech-language pathologist in Blackshear, Georgia and active in the NPI registry since August 2006. The organization lists Shannon S Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1083727325
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSPEECH PATHOLOGY ASSOCIATES OF SOUTH EAST GEORGIA, PC
Location Address2976 US HIGHWAY 84Blackshear, GA 31516-4601
Mailing Address4493 Arch TrlBlackshear, GA 31516-4210 · (912) 807-8255 · Fax (912) 807-8255
Fax(912) 807-8256
Organization SubpartNo
Authorized OfficialShannon S BennettOwner · (912) 449-9923
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 29, 2009
NPI 1083727325 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 GA · SLP003867
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.
2976 US HIGHWAY 84, Blackshear, GA 31516

Other Identifiers 1

Medicaid000731464CGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
2976 US HIGHWAY 84
BLACKSHEAR, GA 31516

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 Speech Pathology Associates Of South East Georgia, PC's NPI number?

The NPI number for Speech Pathology Associates Of South East Georgia, PC is 1083727325. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Speech Pathology Associates Of South East Georgia, PC located?

Speech Pathology Associates Of South East Georgia, PC is located at 2976 Us Highway 84, Blackshear, GA 31516. The listed phone number is (912) 807-8255.

What is Speech Pathology Associates Of South East Georgia, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Speech Pathology Associates Of South East Georgia, PC was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.