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Active NPI 1659707990 Individual Practitioner Female Practitioner

Stephanie Black , SLP

Specialist/Technologist • Byron, GA

Professional Overview & Biography Verified Profile Summary

Stephanie Black, SLP is a registered healthcare professional specializing in Specialist/Technologist in Byron, GA. Practice services are available at 100 HAMILTON POINTE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Hamilton Pointe Dr
115 & 120

Byron, GA 31008

Telephone 4785381436
Fax 4784746601
Associated Practice Facility / Clinic
🏢 Central Ga Family Therapy Facility NPI 1316788540

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in Byron, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Byron, GA (11 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

Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 235500000X

State License GA SLP12069775

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Alexis Chambliss , SPEECH-LANGUAGE

Speech-Language Pathologist

NPI 1194151431

SPEECHLANGUAGE

Monique Whipple , SLP

Speech-Language Pathologist

NPI 1306273651

Speech-Language Pathologist

Jennifer Irwin

Specialist/Technologist

NPI 1326475591
NPI 1881021228

PHYSICALTHERAPIST

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2013

Registered at 100 HAMILTON POINTE DR, 115 & 120, BYRON, GA 31008 (Tel: 4785381436)

📍
Updated Business Mailing Address September 18, 2013

Registered at 100 HAMILTON POINTE DR, SUITE 115 & 120, BYRON, GA 31008 (Tel: 4785381436)

👤
Provider Name / Credentials Updated September 18, 2013

Recorded as STEPHANIE BLACK, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Specialist/Technologist (License #SLP12069775 in GA)

🟢
Initial NPI Registration & Enumeration September 18, 2013

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: 1659707990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2013
Last Update: September 18, 2013
Sole Proprietor: Yes

Mailing Address

100 Hamilton Pointe Dr, Suite 115 & 120

Byron, GA 31008

Phone: 4785381436

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.