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BRYLIE SOUTH CCC-SLP
NPI 1205790029
Speech-Language Pathologist in Mason, OH

Active since December 15, 2025Accepts Medicare Assignment
5225 COX SMITH RD, MASON, OH 45040(513) 549-2930 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brylie South Ccc-slp NPPES

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

BRYLIE SOUTH CCC-SLP (NPI 1205790029) is an individual speech-language pathologist provider in Mason, Ohio, licensed in Ohio (SP.16234) and active in the NPI registry since December 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1205790029
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBRYLIE SOUTHCredential: CCC-SLP
Location Address5225 COX SMITH RDMason, OH 45040-9276
Mailing Address5935 Woodspoint DrMilford, OH 45150-2186
Phone(513) 549-2930
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 15, 2025
NPPES CertifiedDecember 15, 2025
✔ NPI 1205790029 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 OH · SP.16234
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.
5225 COX SMITH RD, Mason, OH 45040
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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

Brylie South 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 ID5496231235
PECOS Enrollment IDI20260112000383

Medicare Billing Reassignment

Medicare enrollment records show Brylie South reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services Inc
5.9 mi
Physical Therapist
7047 HAMILTON MASON RD
West Chester, OH 45069
  • Reassigned Medicare billing, Ohio enrollment
  • 171 clinicians in this Medicare group
NPI 1174153266 (855) 239-3467

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 5

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

HOLLY S MICHEL
Physical Therapist
5225 COX SMITH RD
MASON, OH 45040
Warren County (513) 548-0057
MRS. COLLEEN ROSE HINE OTR/L, MOT
Occupational Therapist
5225 COX SMITH RD
MASON, OH 45040
Warren County (513) 234-5570
RYAN CHIU P.T.
Physical Therapist
5225 COX SMITH RD
MASON, OH 45040
Warren County (239) 728-4513
KATHERINE HEATH DOT, OTR/L
Occupational Therapist
5225 COX SMITH RD
MASON, OH 45040
Warren County (513) 234-5570
MASON OPERATOR, LLC
Assisted Living Facility
5225 COX SMITH RD
MASON, OH 45040
Warren County (513) 234-5570

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 Brylie South's NPI number?

The NPI number for Brylie South is 1205790029. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Brylie South located?

Brylie South practices at 5225 Cox Smith Rd, Mason, OH 45040. The listed phone number is (513) 549-2930.

What is Brylie South's specialty?

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

Is Brylie South enrolled in Medicare?

Yes. Brylie South 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 organization bills Medicare for Brylie South's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brylie South reassigns Medicare benefits to Legacy Healthcare Services Inc (West Chester, OH). The 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 Brylie South'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 Brylie South was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.