Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265710263 Individual Practitioner Female Practitioner

Kimberly Dawn Wilson , MED, CCC-SLP

Speech-Language Pathologist • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Kimberly Wilson, MED, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tifton, GA. Practice services are available at 1488 OLD OCILLA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1488 Old Ocilla Rd

Tifton, GA 317944152

Telephone 2293865200
Fax 2293861412
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tifton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
29 Specialists

Practicing in Tifton, 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 SLP007348

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

8 Associated Practitioners
Jessie-Lynn Myers , OTR, L

Occupational Therapist

NPI 1083231567

Occupational Therapist Registered, L

Shannon Mcdaniel , MED CCC SLP

Speech-Language Pathologist

NPI 1205989480

MEDCCCSLP

Amy Marshall , MED, CCC-SLP

Speech-Language Pathologist

NPI 1235453283

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

Rylee Watson , OTR, L

Occupational Therapist

NPI 1245180777

Occupational Therapist Registered, L

Jennifer Ganas , MED, CCC-SLP

Speech-Language Pathologist

NPI 1467815753

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

Georgia Jackson , MED, CCC-SLP

Speech-Language Pathologist

NPI 1649530593

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 July 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2011

Registered at 1488 OLD OCILLA RD, TIFTON, GA 317944152 (Tel: 2293865200)

📍
Updated Business Mailing Address July 26, 2011

Registered at PO BOX 7508, TIFTON, GA 317937508 (Tel: 2293865200)

👤
Provider Name / Credentials Updated July 26, 2011

Recorded as KIMBERLY WILSON, M.ED., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2011

Speech-Language Pathologist (License #SLP007348 in GA)

🟢
Initial NPI Registration & Enumeration July 26, 2011

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: 1265710263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2011
Last Update: July 26, 2011
Sole Proprietor: No

Mailing Address

Po Box 7508

Tifton, GA 317937508

Phone: 2293865200

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.