ACTS (NPI# 1093253395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093253395 |
| Entity Type | Organization |
| Organization Name | ACTS |
| Practice Address |
500 Lanier Ave W Ste 702 Fayetteville GA 30214-7643 |
| Practice Telephone | 6784813500 |
| Mailing Telephone | 6784813500 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | MRS. KATHERINE L GRIDLEY (SLP-OWNER) |
| Authorized Official Telephone | 6784813500 |
| Authorized Official Credential | MA, CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | SLP001692 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003156050A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902142342 | Acts | Community Based Residential Treatment Facility, Mental Illness | 3575 Old Keystone Rd, Tarpon Springs, FL 34688-7807 | 2012-12-12 |
| 1487904421 | Acts | Community/Behavioral Health | 4612 N 56th St, Tampa, FL 33610-7123 | 2012-09-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ACTS | 27 Commerce Pkwy, Fredericksburg, VA 22406-1037 |
| Washington State Corporations | ACTS & BEYOND MINISTRIES | Po Box 97396, Tacoma, WA 98497 |
| New York State Corporations | ACTS & CHAPTERS, LIMITED LIABILITY COMPANY | 1140 Fifth Avenue, New York, Ny 10128 |
| New York State Corporations | ACTS 12:24 CHURCHES OF THE MID-ATLANTIC REGION OF THE FREE METHODIST CHURCH OF NORTH AMERICA, INC. | 1207 Oregnanum Court, Belcamp, Maryland 21017 |
| Oklahoma Business Registrations | ACTS 16:9 MEDIA, LLC | 603 W Park St, Tecumseh, OK 74873 |
| Virginia Business Entities | ACTS 1:8 CHURCH OF CHRIST | 2719 Geneva Drive, Richmond, Virginia 23224 |
| Oklahoma Business Registrations | ACTS 1:8 LLC | 329 E 4th, Hobart, OK 73651 |
| Oregon Corporations, Companies and Business Names | ACTS 1:8 WITNESSING | 817 White Oak Circle, Central Point, OR 97502 |
| Virginia Business Entities | Acts 2 Network Inc. | 125 Rabey Farm Rd., Suffolk, Virginia 23435 |
| Washington State Corporations | ACTS 2.0, LLC | 3316 Ne 3rd Ave, Camas, WA 98607 |
| Street Address |
500 LANIER AVE W STE 702 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588726186 | Monica Jenkins | Physical Therapist | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2006-12-14 |
| 1700407590 | Laura Baldwin | Physical Therapist | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2020-05-03 |
| 1376184101 | Kelly Haskell Peczka | Physical Therapist | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2019-10-02 |
| 1578104626 | Kelsey T Mullikin | Speech-Language Pathologist | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2019-09-30 |
| 1245713080 | Held Rehabilitation Services, LLC | Clinic/Center | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2018-09-07 |
| 1770012908 | Hannah Elizabeth Lancaster | Physical Therapist | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214 | 2017-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720297 | Madeleine Caroline Montoya | Speech-Language Pathologist | 1830 Owen Dr Ste 103, Fayetteville, NC 28304-3412 | 2020-08-12 |
| 1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
| 1669096764 | Babbling Bunch Speech Therapy LLC | Speech-Language Pathologist | 145 Pepperdine Way, Fayetteville, GA 30214-3666 | 2020-06-04 |
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1801436597 | Ruhee Keshwani | Speech-Language Pathologist | 1343 N Leverett Ave Apt 9, Fayetteville, AR 72703-1756 | 2020-01-09 |
| 1265080121 | Tempest Olivia Baker | Speech-Language Pathologist | 351 Wagoner Dr Ste 341, Fayetteville, NC 28303-4671 | 2019-09-03 |
| 1407403991 | Jennifer Nicole Gunderson | Speech-Language Pathologist | Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 | 2019-08-20 |
| 1275191769 | Lindsay Denise Richards | Speech-Language Pathologist | 3162 W Martin Luther King Blvd Ste 4, Fayetteville, AR 72704-7679 | 2019-05-30 |
| 1285290353 | Affinity Therapy Services | Speech-Language Pathologist | 2755 Bardolino Dr, Fayetteville, NC 28306-4635 | 2019-05-14 |
| 1942766829 | Speech Within Reach | Speech-Language Pathologist | 5594 Linkwood Dr, Fayetteville, NC 28311-0289 | 2019-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on ACTS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.