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Deactivated NPI 1487719035 Deactivated / Inactive NPI Female Practitioner

Ellen Elizabeth Gordon , CCC-SLP

Speech-Language Pathologist • Columbus, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ellen Gordon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 26, 2006
NPI Deactivation Date July 02, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Ellen Gordon, CCC-SLP was a registered Speech-Language Pathologist practicing in Columbus, GA. Throughout an active medical career spanning 19 years, Ellen Gordon provided care at the practice location at 4350 WARM SPRINGS RD until profile deactivation on 2025-07-02.

Practice Location & Contact Primary Location

Practice Address

4350 Warm Springs Rd
Suite 500

Columbus, GA 319095464

Telephone 7065758365

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP004645

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 02, 2025

Record deactivated on July 02, 2025

NPI Profile Active July 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 28, 2015

Registered at 4350 WARM SPRINGS RD, SUITE 500, COLUMBUS, GA 319095464 (Tel: 7065758365)

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Updated Business Mailing Address July 28, 2015

Registered at 4350 WARM SPRINGS RD, SUITE 500, COLUMBUS, GA 319095464 (Tel: 7065758365)

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Provider Name / Credentials Updated July 28, 2015

Recorded as ELLEN GORDON, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2015

Speech-Language Pathologist (License #SLP004645 in GA)

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Initial NPI Registration & Enumeration December 26, 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: 1487719035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: July 28, 2015
Deactivation Date: July 02, 2025

Mailing Address

4350 Warm Springs Rd, Suite 500

Columbus, GA 319095464

Phone: 7065758365

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

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