Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356414726 Individual Practitioner Female Practitioner

Shelonda A Porter , MED, CCC-SLP

Speech-Language Pathologist • Waycross, GA

Professional Overview & Biography Verified Profile Summary

Shelonda Porter, MED, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Waycross, GA. Practice services are available at 3085 BENTWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3085 Bentwood Dr

Waycross, GA 315034117

Telephone 9122880214
Fax 9122831570
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Waycross, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
31 Specialists

Practicing in Waycross, 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 SLP005147

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

Medicaid State Provider ID
10034561 (GA)
Medicaid State Provider ID
305511 (GA)
Commercial Insurance / Payer ID Asha Certification
12039364
Commercial Insurance / Payer ID Gsha Membership
1364319 (GA)
Commercial Insurance / Payer ID Ga License
SLP005147 (GA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3085 BENTWOOD DR, WAYCROSS, GA 315034117 (Tel: 9122880214)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3085 BENTWOOD DR, WAYCROSS, GA 315034117 (Tel: 9122880214)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as SHELONDA PORTER, M.ED., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #SLP005147 in GA)

🟢
Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356414726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

3085 Bentwood Dr

Waycross, GA 315034117

Phone: 9122880214

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.