Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891815049 Individual Practitioner Female Practitioner

Andrea Boutwell , ST

Speech-Language Pathologist • Tifton, GA

Professional Overview & Biography Verified Profile Summary

Andrea Boutwell, ST is a registered healthcare professional specializing in Speech-Language Pathologist in Tifton, GA. Practice services are available at 901 18TH ST E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

901 18th St E

Tifton, GA 317943648

Telephone 2293533347
Fax 2293537722
Associated Practice Facility / Clinic
🏢 Tifton Radiology Pc Facility NPI 1780677922

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 SLP006592

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

Commercial Insurance / Payer ID License Number
SLP006592 (GA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cole Burgess , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003198268

Certified Registered Nurse Anesthetist

Jose Abantao , PT

Physical Therapist

NPI 1003936246

Physical Therapist

Heath Farmer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013250612

Certified Registered Nurse Anesthetist

Bethany Curry , PT

Physical Therapist

NPI 1053735274

Physical Therapist

Rhonda Jordan , SLP

Speech-Language Pathologist

NPI 1073939955

Speech-Language Pathologist

Elaina Harden , LD

Dietitian, Registered

NPI 1083955447

Licensed Dietitian

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 901 18TH ST E, TIFTON, GA 317943648 (Tel: 2293533347)

📍
Updated Business Mailing Address July 08, 2007

Registered at 901 18TH ST E, TIFTON, GA 317943648 (Tel: 2293533347)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREA BOUTWELL, ST

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

Speech-Language Pathologist (License #SLP006592 in GA)

🟢
Initial NPI Registration & Enumeration March 30, 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: 1891815049
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

901 18th St E

Tifton, GA 317943648

Phone: 2293533347

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.