Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114041613 Individual Practitioner Female Practitioner

Samantha Fordham Depue , MED CCC-SLP, BCBA

Speech-Language Pathologist • Columbus, GA

Professional Overview & Biography Verified Profile Summary

Samantha Depue, MED CCC-SLP, BCBA is a registered healthcare professional specializing in Speech-Language Pathologist in Columbus, GA. Practice services are available at 6329 BROOKSTONE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6329 Brookstone Blvd

Columbus, GA 319042993

Telephone 7065773942
Fax 7062871057

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
120 Specialists

Practicing in Columbus, 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

CMS Verified: 2025-06-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP6138

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.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License None 1-22-62671

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

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

Commercial Insurance / Payer ID Behavior Analyst Certification Board
1-22-62671
Commercial Insurance / Payer ID Ga License
SLP 6138 (GA)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location June 27, 2025

Registered at 6329 BROOKSTONE BLVD, COLUMBUS, GA 319042993 (Tel: 7065773942)

📍
Updated Business Mailing Address June 27, 2025

Registered at 6329 BROOKSTONE BLVD, COLUMBUS, GA 319042993 (Tel: 7065773942)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2025

Behavior Analyst (License #1-22-62671 in None)

📍
Updated Practice Location November 21, 2022

Registered at 3623 CALVIN DR, COLUMBUS, GA 319047915 (Tel: 7069405100)

📍
Updated Business Mailing Address November 21, 2022

Registered at 3623 CALVIN DR, COLUMBUS, GA 319047915 (Tel: 7069405100)

👤
Provider Name / Credentials Updated November 21, 2022

Recorded as SAMANTHA DEPUE, M.ED. CCC-SLP, BCBA

NPI Profile Active August 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2007

Registered at 6298 VETERANS PKWY, SUITE 5A, COLUMBUS, GA 319096258 (Tel: 7063227762)

📍
Updated Business Mailing Address August 02, 2007

Registered at 690 LAUREL RIDGE LN, CATAULA, GA 318042869 (Tel: 7066601995)

👤
Provider Name / Credentials Updated August 02, 2007

Recorded as SAMANTHA DEPUE, M.ED. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2007

Speech-Language Pathologist (License #SLP6138 in GA)

🟢
Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114041613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: June 27, 2025
Sole Proprietor: No

Mailing Address

6329 Brookstone Blvd

Columbus, GA 319042993

Phone: 7065773942

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.