Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558738062 Individual Practitioner Female Practitioner

Lisa Williams , M ED CCC, SLP

Speech-Language Pathologist • Douglas, GA

Professional Overview & Biography Verified Profile Summary

Lisa Williams, M ED CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Douglas, GA. Practice services are available at 618 BOWENS MILL RD SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

618 Bowens Mill Rd Sw

Douglas, GA 315333926

Telephone 9123310846
Fax 6787924894
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Douglas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
30 Specialists

Practicing in Douglas, 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: 2021-03-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP008831

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
003171926B (GA)

Secondary Practice Locations

611 S Grant St

Fitzgerald, GA 317503377

Phone: 9123310846

510 S Main St Ste B

Baxley, GA 315130183

Phone: 9123310846

607 Jackson St

Vidalia, GA 304744721

Phone: 9123310846

38 S Tallahassee St

Hazlehurst, GA 315396261

Phone: 9123310846

Practice Associates & Co-Workers

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

30 Associated Practitioners
Lisa Lewis , SLP

Speech-Language Pathologist

NPI 1023532124

Speech-Language Pathologist

Teresa Mcelroy , M ED CCC, SLP

Speech-Language Pathologist

NPI 1043469059

MEDCCC, Speech-Language Pathologist

Jessical Hall , MED CCC-SLP

Speech-Language Pathologist

NPI 1043900657

MEDCCCSLP

Susan Fortner , MED, CF, SLP

Speech-Language Pathologist

NPI 1144705450

Master of Education, CF, Speech-Language Pathologist

Allison Gaskins , MED CCC-SLP

Speech-Language Pathologist

NPI 1316579865

MEDCCCSLP

Brandie Altman , MED CCC-SLP

Speech-Language Pathologist

NPI 1316677024

MEDCCCSLP

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location March 02, 2021

Registered at 618 BOWENS MILL RD SW, DOUGLAS, GA 315333926 (Tel: 9123310846)

NPI Profile Active October 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

📍
Updated Business Mailing Address October 04, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

👤
Provider Name / Credentials Updated October 04, 2017

Recorded as LISA WILLIAMS, M ED CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2017

Speech-Language Pathologist (License #SLP008831 in GA)

📍
Updated Practice Location May 08, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

📍
Updated Business Mailing Address May 08, 2017

Registered at 118 PEARL AVE N, DOUGLAS, GA 315334632 (Tel: 9123310846)

👤
Provider Name / Credentials Updated May 08, 2017

Recorded as LISA WILLIAMS, M ED CCC/SLP

NPI Profile Active September 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2015

Registered at 510 WEST ASHLEY STREET, DOUGLAS, GA 31533 (Tel: 9123459905)

📍
Updated Business Mailing Address September 01, 2015

Registered at 1206 HABERSHAM WAY, DOUGLAS, GA 31533 (Tel: 9123459905)

👤
Provider Name / Credentials Updated September 01, 2015

Recorded as LISA WILLIAMS, MED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2015

Speech-Language Pathologist (License #SLP008831 in GA)

🟢
Initial NPI Registration & Enumeration September 01, 2015

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: 1558738062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2015
Last Update: March 02, 2021
Sole Proprietor: No

Mailing Address

118 Pearl Ave N

Douglas, GA 315334632

Phone: 9123310846

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.