Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518022425 Individual Practitioner Female Practitioner

Tanya Williams Clark , CCC-SLP

Speech-Language Pathologist • Bainbridge, GA

Professional Overview & Biography Verified Profile Summary

Tanya Clark, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bainbridge, GA. Practice services are available at 100 SOUTH WEST ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 South West St.

Bainbridge, GA 39817

Telephone 2292482837
Fax 2292482844
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bainbridge, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Bainbridge, GA (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP004670

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000865664B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Winde Farrington , SLP

Speech-Language Pathologist

NPI 1194785469

Speech-Language Pathologist

Lori Temples

Speech-Language Pathologist

NPI 1457774457
Sylena Wiggins , CCC-SLP

Speech-Language Pathologist

NPI 1558321125

Speech-Language Pathologist (Certificate of Clinical Competence)

Diane Welch , CCC-SLP

Speech-Language Pathologist

NPI 1629491626

Speech-Language Pathologist (Certificate of Clinical Competence)

Anna Payne

Speech-Language Pathologist

NPI 1962825968

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2014

Registered at 100 SOUTH WEST ST., BAINBRIDGE, GA 39817 (Tel: 2292482837)

📍
Updated Business Mailing Address January 24, 2014

Registered at 100 SOUTH WEST ST., BAINBRIDGE, GA 39817 (Tel: 2292482837)

👤
Provider Name / Credentials Updated January 24, 2014

Recorded as TANYA CLARK, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2014

Speech-Language Pathologist (License #SLP004670 in GA)

🟢
Initial NPI Registration & Enumeration December 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518022425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2006
Last Update: January 24, 2014
Sole Proprietor: Yes

Mailing Address

100 South West St.

Bainbridge, GA 39817

Phone: 2292482837

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.