AZALEA REHAB SERVICES, LLC (NPI# 1992062426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992062426 |
| Entity Type | Organization |
| Organization Name | AZALEA REHAB SERVICES, LLC |
| Practice Address |
2301 Bemiss Rd Valdosta GA 31602-1934 |
| Mailing Address |
304 Emory St Valdosta GA 31602-1808 |
| Practice Telephone | 2292441667 |
| Practice Fax Number | 2292448253 |
| Mailing Telephone | 2292441667 |
| Mailing Fax Number | 2292448253 |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | HEATHER DELANEY (OWNER) |
| Authorized Official Telephone | 2293009365 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003107600C | 05 | |
| GA | 003124189A | 05 | |
| GA | 003110551C | 05 |
| Street Address |
2301 BEMISS RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902194038 | Heather Shay Delaney | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2011-07-11 |
| 1326651910 | Victoria Elizabeth Redding | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2020-08-25 |
| 1679105027 | Reagan Plymale | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2020-02-04 |
| 1902446222 | Caitlin Greer Webb | Physical Therapist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2020-01-14 |
| 1851951909 | Jada J Williams | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2019-06-19 |
| 1558834762 | Courtney Paulo | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2019-01-10 |
| 1235618851 | Ashley L Livingston | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602 | 2018-08-14 |
| 1225576176 | Lacey L Lowery | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2017-02-10 |
| 1538545371 | Barbara Ann Lee | Speech-Language Pathologist | 2301 Bemiss Rd, Valdosta, GA 31602-1934 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1982103420 | Gina T Grimes | Speech-Language Pathologist | 3825 Johnston Rd, Valdosta, GA 31601-2113 | 2018-02-11 |
| 1770092793 | Brittany Corbitt | Speech-Language Pathologist | 2941 N Ashley St Ste D, Valdosta, GA 31602-5946 | 2017-09-21 |
| 1497277453 | Macey Mcglamry Zeh | Speech-Language Pathologist | 700 N Oak St, Valdosta, GA 31601-4579 | 2017-07-12 |
| 1093268203 | Angelia Brooks | Speech-Language Pathologist | 2033 Woody Cir, Valdosta, GA 31601-0327 | 2016-07-25 |
| 1639525470 | Tyler Arnold | Speech-Language Pathologist | 4180 Bowen Way, Valdosta, GA 31605-6238 | 2016-05-11 |
| 1487029807 | Stephanie Donaldson | Speech-Language Pathologist | 2307 S Sherwood Dr, Valdosta, GA 31602-2269 | 2015-12-10 |
| 1750770970 | Amerimed Therapy | Speech-Language Pathologist | 2209 S Sherwood Dr, Valdosta, GA 31602-2234 | 2015-01-12 |
| 1396148714 | Laura Ellisa Odell | Speech-Language Pathologist | 304 Janet St Ste D, Valdosta, GA 31602-2643 | 2014-09-30 |
| 1396160800 | Christa Shaw | Speech-Language Pathologist | 2906 N Patterson St, Valdosta, GA 31602-1441 | 2014-02-20 |
| 1578984001 | Jenna Cole Roberts | Speech-Language Pathologist | 701 Baytree Rd Ste C, Valdosta, GA 31602-2881 | 2013-12-31 |
| Find all providers in VALDOSTA | ||||
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| 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.