Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801890439 Individual Practitioner Female Practitioner

Erica R Wilson , MEDCCCSLP

Speech-Language Pathologist • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Erica Wilson, MEDCCCSLP is a registered healthcare professional specializing in Speech-Language Pathologist in Conyers, GA. Practice services are available at 2395 WALL ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2395 Wall St Se
Suite 190

Conyers, GA 300136703

Telephone 4042028490
Fax 7706799344
Associated Practice Facility / Clinic
🏢 South Dekalb Pediatrics Facility NPI 1912107079

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Conyers, 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 SLP006266

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
435026966A (GA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Nondi Chappell , M ED CCC-SLP

Speech-Language Pathologist

NPI 1063852499

MEDCCCSLP

Sarah Kirkpatrick , M ED, CCC-SLP

Speech-Language Pathologist

NPI 1730533936

Master of Education, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2013

Registered at 2395 WALL ST SE, SUITE 190, CONYERS, GA 300136703 (Tel: 4042028490)

📍
Updated Business Mailing Address December 11, 2013

Registered at 3141 BRIGHTON PASS, CONYERS, GA 300943357 (Tel: 4042028490)

👤
Provider Name / Credentials Updated December 11, 2013

Recorded as ERICA WILSON, MEDCCCSLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2013

Speech-Language Pathologist (License #SLP006266 in GA)

🟢
Initial NPI Registration & Enumeration June 10, 2005

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: 1801890439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2005
Last Update: December 11, 2013
Sole Proprietor: Yes

Mailing Address

3141 Brighton Pass

Conyers, GA 300943357

Phone: 4042028490

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.