Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770193716 Individual Practitioner Female Practitioner

Sara Fanelli , CCC-SLP

Speech-Language Pathologist • Kingsland, GA

Professional Overview & Biography Verified Profile Summary

Sara Fanelli, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kingsland, GA. Practice services are available at 130 N GROSS RD STE 125 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 N Gross Rd Ste 125

Kingsland, GA 315486263

Telephone 9123428875
Fax 9122650041
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kingsland, GA

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

Practicing in Kingsland, 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: 2022-08-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP011171

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mary Blenkinsop , CCC-SLP

Speech-Language Pathologist

NPI 1013496330

Speech-Language Pathologist (Certificate of Clinical Competence)

Alexa Daniell , MHS, OTR, L

Occupational Therapist - Pediatrics

NPI 1033754056

MHS, Occupational Therapist Registered, L

Olga Bryant , SLP004314

Speech-Language Pathologist

NPI 1063592087
Marisa Harvey , PT

Physical Therapist

NPI 1073572277

Physical Therapist

Amber Libby , CCC-SLP

Speech-Language Pathologist

NPI 1104586502

Speech-Language Pathologist (Certificate of Clinical Competence)

Mattie Wolfson , CF-SLP

Speech-Language Pathologist

NPI 1134960891

Clinical Fellow in Speech-Language Pathology

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated August 30, 2022

Recorded as SARA FANELLI, CCC-SLP

NPI Profile Active August 04, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2020

Registered at 130 N GROSS RD STE 125, KINGSLAND, GA 315486263 (Tel: 9123428875)

📍
Updated Business Mailing Address August 04, 2020

Registered at 4212 CORAL PARK DR, BRUNSWICK, GA 315203016 (Tel: 9123428875)

👤
Provider Name / Credentials Updated August 04, 2020

Recorded as SARA JENSEN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2020

Speech-Language Pathologist (License #SLP011171 in GA)

🟢
Initial NPI Registration & Enumeration August 04, 2020

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: 1770193716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2020
Last Update: August 30, 2022
Sole Proprietor: Yes

Mailing Address

4212 Coral Park Dr

Brunswick, GA 315203016

Phone: 9123428875

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.