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Deactivated NPI 1982810040 Deactivated / Inactive NPI Female Practitioner

Sandra Broome Addy , MED CCC SLP

Speech-Language Pathologist • Milledgeville, 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, Sandra Addy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2007
NPI Deactivation Date June 12, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Sandra Addy, MED CCC SLP was a registered Speech-Language Pathologist practicing in Milledgeville, GA. Throughout an active medical career spanning 18 years, Sandra Addy provided care at the practice location at 144 MYRICK RD NW until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

144 Myrick Rd Nw

Milledgeville, GA 310618276

Telephone 4789685152
Fax 4784572005

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Milledgeville, GA

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

Practicing in Milledgeville, 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 SLP004170

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

2 Associated Practitioners
Joseph Owoho

Occupational Therapist

NPI 1083733794
Randall Evans , PT

Physical Therapist

NPI 1881809077

Physical Therapist

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 June 12, 2025

Record deactivated on June 12, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 144 MYRICK RD NW, MILLEDGEVILLE, GA 310618276 (Tel: 4789685152)

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Updated Business Mailing Address July 08, 2007

Registered at 144 MYRICK RD NW, MILLEDGEVILLE, GA 310618276 (Tel: 4789685152)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SANDRA ADDY, MED CCC SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SLP004170 in GA)

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Initial NPI Registration & Enumeration May 15, 2007

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: 1982810040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: July 08, 2007
Deactivation Date: June 12, 2025

Mailing Address

144 Myrick Rd Nw

Milledgeville, GA 310618276

Phone: 4789685152

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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