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MS. NANCY BROADHURST DELLARIA M.ED. CCC-SLP
NPI 1285735316
Speech-Language Pathologist in Athens, GA

Active since September 25, 2006
110 CARLTON ST, ATHENS, GA 30602(706) 542-4594(706) 542-4574 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Nancy Broadhurst Dellaria M.ed. Ccc-slp NPPES

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

MS. NANCY BROADHURST DELLARIA M.ED. CCC-SLP (NPI 1285735316) is an individual speech-language pathologist provider in Athens, Georgia, licensed in Georgia (000999) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1285735316
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. NANCY BROADHURST DELLARIACredential: M.ED. CCC-SLP
Location Address110 CARLTON STAthens, GA 30602-5004
Mailing Address116 River Bottom CirAthens, GA 30606-1992 · (706) 548-5773
Phone(706) 542-4594
Fax(706) 542-4574
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285735316 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 · 000999
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
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Other Identifiers 1

Other000999GA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nancy Broadhurst Dellaria M.ed. Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Board Of Regents Of The University System Of Georgia
Same address
Audiologist
110 CARLTON ST. 593 ADERHOLD HALL
Athens, GA 30602
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1376640557 (706) 542-4598

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 15

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

STEPHANIE KAMILA DOBLACK-MELLUM BS
Counselor (Mental Health)
110 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8508
CELARET PEREZ
Counselor (Mental Health)
110 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8508
AUSTIN TORAIN BA
Counselor (Mental Health)
110 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8508
JALEAH BROWN
Student in an Organized Health Care Education/Training Program
110 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8508
MS. SHANNON LEIGH WYNNE BCBA
Behavior Analyst
110 CARLTON ST
ATHENS, GA 30602
Clarke County (770) 827-2410
FELIPE MARIO LUBA AGGIO B.S.
Counselor (Mental Health)
110 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8508
DEANA SUZANNE FRINK M.ED., CCC-SLP, PHD
Speech-Language Pathologist
110 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-4598
ANNA LEE HOFFMAN
Student in an Organized Health Care Education/Training Program
110 CARLTON ST
ATHENS, GA 30602
Clarke County (706) 542-8508

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 Nancy Dellaria's NPI number?

The NPI number for Nancy Dellaria is 1285735316. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Nancy Dellaria located?

Nancy Dellaria practices at 110 Carlton St, Athens, GA 30602. The listed phone number is (706) 542-4594.

What is Nancy Dellaria's specialty?

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

Is Nancy Dellaria enrolled in Medicare?

Yes. Nancy Dellaria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Dellaria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Dellaria reassigns Medicare benefits to Board Of Regents Of The University System Of Georgia (Athens, GA). 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 Nancy Dellaria'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 Nancy Dellaria was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.