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DR. SHANNON WADE SALLEY M.S., CCC-SLPD
NPI 1952532418
Speech-Language Pathologist in South Boston, VA

Active since August 01, 2009
103 ROSEHILL DR, SOUTH BOSTON, VA 24592(434) 572-4906 Get Directions Write a Review

NPPES record last updated: August 1, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shannon Wade Salley M.s., Ccc-slpd NPPES

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

DR. SHANNON WADE SALLEY M.S., CCC-SLPD (NPI 1952532418) is an individual speech-language pathologist provider in South Boston, Virginia, licensed in Virginia (2202003767) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1952532418
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDR. SHANNON WADE SALLEYCredential: M.S., CCC-SLPD
Location Address103 ROSEHILL DRSouth Boston, VA 24592-4843
Mailing Address103 Rosehill DrSouth Boston, VA 24592-4843 · (434) 572-4906
Phone(434) 572-4906
Sole ProprietorYes
Enumeration DateAugust 1, 2009
✔ NPI 1952532418 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 VA · 2202003767
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.
103 ROSEHILL DR, South Boston, VA 24592
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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 (PECOS)

Dr. Shannon Wade Salley M.s., Ccc-slpd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Longwood University
49 mi
Speech-Language Pathologist
315 W 3RD ST
Farmville, VA 23901
  • Reassigned Medicare billing, Virginia enrollment
  • 4 clinicians in this Medicare group
NPI 1770637555 (434) 395-2972

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 17

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

CASEY ERIN COOK OTR/L
Occupational Therapist
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 272-4201
LAUREN SPENCER LPTA
Physical Therapy Assistant
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 517-7527
VICTORIA FAYE PHELPS
Speech-Language Pathologist
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 272-4201
AMY ELIZABETH HENDERSON SLP-CF
Speech-Language Pathologist
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 517-7500
BRITTANY MOORE
Physical Therapy Assistant
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 575-7527
HALIFAX REGIONAL LONG TERM CARE, INC
Skilled Nursing Facility
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4906
BRAYDEN MOORE PT, DPT
Physical Therapist
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 272-4201
ASHLEY BOWEN MOORE OTR/L
Occupational Therapist
103 ROSEHILL DR
SOUTH BOSTON, VA 24592
Halifax County (434) 517-7512

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 Shannon Salley's NPI number?

The NPI number for Shannon Salley is 1952532418. It was assigned to this individual provider in the NPPES registry on August 1, 2009.

Where is Shannon Salley located?

Shannon Salley practices at 103 Rosehill Dr, South Boston, VA 24592. The listed phone number is (434) 572-4906.

What is Shannon Salley's specialty?

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

Is Shannon Salley enrolled in Medicare?

Yes. Shannon Salley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Salley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Salley reassigns Medicare benefits to Longwood University (Farmville, VA). 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 Shannon Salley'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 Shannon Salley was last updated on August 1, 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.