MRS. BRANDI MARISA BAZEMORE ELLIS M.S. CCC-SLP
NPI 1659992808
Speech-Language Pathologist in Statesboro, GA

Active since April 29, 2020
508 GENTILLY RD, STATESBORO, GA 30458(912) 681-7768 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Brandi Marisa Bazemore Ellis M.s. Ccc-slp NPPES

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

MRS. BRANDI MARISA BAZEMORE ELLIS M.S. CCC-SLP (NPI 1659992808) is an individual speech-language pathologist provider in Statesboro, Georgia, licensed in Georgia (SLP009766) and active in the NPI registry since April 2020. She maintains a secondary practice location in Newington.

NPPES Registry Identity

NPI1659992808
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. BRANDI MARISA BAZEMORE ELLISCredential: M.S. CCC-SLP
Location Address508 GENTILLY RDStatesboro, GA 30458-5149
Mailing Address508 Gentilly RdStatesboro, GA 30458-5149 · (912) 681-7768
Sole ProprietorNo
Enumeration DateApril 29, 2020
NPPES CertifiedApril 29, 2020
NPI 1659992808 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 · SLP009766
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.
508 GENTILLY RD, Statesboro, GA 30458

Secondary Practice Location 1

Location 19104 Savannah HwyNewington, GA 30446-2603 · Phone (912) 665-2690

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Speech-Language Pathologist
508 GENTILLY RD
STATESBORO, GA 30458
Physical Therapist (Pediatrics)
508 GENTILLY RD
STATESBORO, GA 30458
Physical Therapist
508 GENTILLY RD
STATESBORO, GA 30458
Speech-Language Pathologist
508 GENTILLY RD
STATESBORO, GA 30458
Physical Therapist
508 GENTILLY RD
STATESBORO, GA 30458
Speech-Language Pathologist
508 GENTILLY RD
STATESBORO, GA 30458
Occupational Therapist (Pediatrics)
508 GENTILLY RD
STATESBORO, GA 30458
Speech-Language Pathologist
508 GENTILLY RD
STATESBORO, GA 30458

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 Brandi Ellis's NPI number?

The NPI number for Brandi Ellis is 1659992808. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Brandi Ellis located?

Brandi Ellis practices at 508 Gentilly Rd, Statesboro, GA 30458. The listed phone number is (912) 681-7768.

What is Brandi Ellis's specialty?

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

What insurance does Brandi Ellis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Brandi Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandi Ellis was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.