MS. TINIKA ROSS DISMUKE


Address: 7544 Metcalf Rd, Thomasville, GA 31792-8638
Phone: 2293796456

MS. TINIKA ROSS DISMUKE (NPI# 1518140763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518140763
Entity Type Individual
Full Name MS. TINIKA ROSS DISMUKE
Credential CCC-SLP
Practice Address 7544 Metcalf Rd
Thomasville
GA 31792-8638
Practice Telephone 2293796456
Practice Fax Number 2292266353
Mailing Telephone 2293796456
Mailing Fax Number 2292266353
Enumeration Date 2007-12-11
Last Update Date 2008-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLP005792 GA Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 177434204D 05
GA 177434204C 05

Office Location

Street Address 7544 METCALF RD
City THOMASVILLE
State GA
Zip Code 31792-8638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720315724 Tequesta Venia Diggs Speech-Language Pathologist 7544 Metcalf Rd, Thomasville, GA 31792-8638 2009-11-11
1487892956 Amelia Parker Speech-Language Pathologist 7544 Metcalf Rd, Thomasville, GA 31792-8638 2009-01-21

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NPI Name Taxonomy Address Enumeration
1245739879 Georgia Pines Community Service Board Community/Behavioral Health 407 Cloverdale Drive, Thomasville, GA 31792 2018-02-09
1932613551 Diana Diaz Physician Assistant 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 2017-11-17
1194249425 Bobbie Frazier Contractor 400 Cloverdale Dr, Thomasville, GA 31792 2017-07-28
1598132292 Southern Scripts, LLC Pharmacy 501 Gordon Avenue, Thomasville, GA 31792 2015-08-28
1508248915 Elizabeth Nicole Keen Behavioral Analyst 121 Covington Ave Apt 9, Thomasville, GA 31792 2015-06-22
1417341579 Sheila L Stanley Counselor 301 Summercreek Cove, Thomasville, GA 31792 2015-03-26
1457749301 Ashley Lamb Speech-Language Pathologist 1203 East Jackson Street, Thomasville, GA 31792 2014-12-30
1831403880 Somnoquest Durable Medical Equipment & Medical Supplies 556 Hall Road, Thomasville, GA 31792 2010-08-02
1508000183 Kashyap B Choksi Internal Medicine 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 2009-04-27
1205008786 Mark J Glaccum Chiropractor 415 Gordon Avenue, Thomasville, GA 31792 2008-03-25
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164047825 Desirae Ott Speech-Language Pathologist 16127 Us Highway 84 E, Thomasville, GA 31757-1626 2020-06-09
1881236586 Christine M Hohstadt Speech-Language Pathologist 452 White Oak Rd, Thomasville, NC 27360-9712 2019-10-14
1396260576 Angela Felts Speech-Language Pathologist 300 W Hansell St, Thomasville, GA 31792-6650 2017-08-08
1457749301 Ashley Lamb Speech-Language Pathologist 1203 East Jackson Street, Thomasville, GA 31792 2014-12-30
1548602949 Rebecca Setzer Speech-Language Pathologist 1010 Randolph St, Thomasville, NC 27360-5877 2013-07-25
1568713121 Randi Grantham Nguyen Speech-Language Pathologist 1102 Smith Ave Ste C, Thomasville, GA 31792-5700 2012-09-24
1104187731 Julie Amann Speech-Language Pathologist 130 Pheasant Rdg, Thomasville, GA 31792-1660 2012-05-30
1376867036 Julie Weimer Speech-Language Pathologist 8275 S Nc Highway 109, Suite 107, Thomasville, NC 27360-7811 2010-03-23
1679703482 Molly Moye Squires Speech-Language Pathologist 205 S Love St, Thomasville, GA 31792-5516 2009-07-15
1396888517 Desire' S Stokes Speech-Language Pathologist 5784 Ga Highway 202, Thomasville, GA 31757-1007 2007-02-15
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Competitor

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City THOMASVILLE
Zip Code 31792

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Dataset Information

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.

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