SAMANTHA WILKIN (NPI# 1861457608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861457608 |
Entity Type | Individual |
Full Name | SAMANTHA WILKIN |
Credential | SLP |
Practice Address |
713 E Shotwell St Bainbridge GA 39819-4063 |
Practice Telephone | 2292464088 |
Practice Fax Number | 2292430200 |
Mailing Telephone | 2292464088 |
Mailing Fax Number | 2292430200 |
Enumeration Date | 2006-04-17 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLP003555 | GA | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 00677531A | 05 |
Street Address |
713 E SHOTWELL ST |
City | BAINBRIDGE |
State | GA |
Zip Code | 39819-4063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174583819 | Amanda Cochran | Speech-Language Pathologist | 713 E Shotwell St, Bainbridge, GA 39819-4063 | 2006-03-25 |
1528024221 | Valarie Karen Roberson Harrison | Occupational Therapy Assistant | 713 E Shotwell St, Bainbridge, GA 39819 | 2006-04-22 |
1932169489 | Kelly Phillips | Specialist/Technologist | 713 E Shotwell St, Bainbridge, GA 39819-4063 | 2006-03-27 |
1477513109 | Margaret Ann Parker | Speech-Language Pathologist | 713 E Shotwell St, Bainbridge, GA 39819-4063 | 2006-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
Find all providers in zip 39819 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932169489 | Kelly Phillips | Specialist/Technologist | 713 E Shotwell St, Bainbridge, GA 39819-4063 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760036156 | Candace L Hughes | Specialist/Technologist | 1058 5th Ave, Jonesboro, GA 30236-3299 | 2019-07-24 |
1043864432 | Destiny Lacara Mack | Specialist/Technologist | 160 Roberts Dr, Riverdale, GA 30274-3302 | 2019-07-24 |
1437710753 | Kristyn Spelina | Specialist/Technologist | 2775 Cruse Rd Ste 2002, Lawrenceville, GA 30044-7147 | 2019-06-26 |
1073083564 | Kimberly Odom | Specialist/Technologist | 2602 White Rose Dr, Loganville, GA 30052-2196 | 2018-11-28 |
1811416498 | Susan M Kirkland | Specialist/Technologist | 165 Jackson Dr, Resaca, GA 30735 | 2017-09-14 |
1558737775 | Diane Armstead | Specialist/Technologist | 809 Muirfield Trl, Marietta, GA 30068-2653 | 2015-08-12 |
1982025979 | Lm Speech | Specialist/Technologist | 2547 Ridgewood Ter Nw, Atlanta, GA 30318-1320 | 2013-12-18 |
1497090898 | Tiara Lynn | Specialist/Technologist | 3180 Blackfoot Ln, Rex, GA 30273-1065 | 2012-12-11 |
1467724351 | Bianca C Kelly | Specialist/Technologist | 3209 Saint Clair Dr Ne, Atlanta, GA 30329-2662 | 2012-02-07 |
1528349156 | Genesis Healthcare Systems LLC | Specialist/Technologist | 1885 Leland Drive, Marietta, GA 30067 | 2011-09-09 |
Find all providers with the same taxonomy |
City | BAINBRIDGE |
Zip Code | 39819 |
Please comment or provide details below to improve the information on SAMANTHA WILKIN.
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.