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Active NPI 1962611202 Individual Practitioner Male Practitioner

Edgar Vincent Clark , CCC-S

Speech-Language Pathologist • Vidalia, GA

Professional Overview & Biography Verified Profile Summary

Edgar Clark, CCC-S is a registered healthcare professional specializing in Speech-Language Pathologist in Vidalia, GA. Practice services are available at 101 HARRIS INDUSTRIAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Harris Industrial Blvd

Vidalia, GA 304748845

Telephone 9125372044
Fax 9122772098
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Vidalia, GA

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

Practicing in Vidalia, 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 SLP004577

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

22 Associated Practitioners
Dr. Hubert Suber , MD

Obstetrics & Gynecology

NPI 1093702540

Doctor of Medicine (M.D.)

Angelia Attaway , CNM

Advanced Practice Midwife

NPI 1114758489

Certified Nurse Midwife

Dr. John Spence , MD

Emergency Medicine - Undersea and Hyperbaric Medicine

NPI 1124034996

Doctor of Medicine (M.D.)

Mary Bennett , ATC, LAT

Specialist/Technologist - Athletic Trainer

NPI 1134158538

Certified Athletic Trainer, Licensed Athletic Trainer

Margaret Wood , CCC, SLP

Speech-Language Pathologist

NPI 1164747978

Certificate of Clinical Competence, Speech-Language Pathologist

Wilton Carter

Massage Therapist

NPI 1174003180

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 101 HARRIS INDUSTRIAL BLVD, VIDALIA, GA 304748845 (Tel: 9125372044)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 383, GLENWOOD, GA 304280383 (Tel: 9125687687)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDGAR CLARK, CCC-S

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

Speech-Language Pathologist (License #SLP004577 in GA)

🟢
Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962611202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 383

Glenwood, GA 304280383

Phone: 9125687687

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.