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Deactivated NPI 1114047529 Deactivated / Inactive NPI Female Practitioner

Annette C Wimberly , SLP

Speech-Language Pathologist • Ridgeland, MS

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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, Annette Wimberly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 30, 2007
NPI Deactivation Date April 26, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Annette Wimberly, SLP was a registered Speech-Language Pathologist practicing in Ridgeland, MS. Throughout an active medical career spanning 12 years, Annette Wimberly provided care at the practice location at 711 AVIGNON DR until profile deactivation on 2019-04-26.

Practice Location & Contact Primary Location

Practice Address

711 Avignon Dr

Ridgeland, MS 391575120

Telephone 6016056777
Fax 8005176935
Associated Practice Facility / Clinic
🏢 Midsouth Rehab Services Inc. Facility NPI 1609930965

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ridgeland, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
130 Specialists

Practicing in Ridgeland, MS (1519 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 MS S0168

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

40 Associated Practitioners
Christine Shadie , PT

Physical Therapist

NPI 1003084666

Physical Therapist

Reneda Watts-Anderson , PT

Physical Therapist

NPI 1003140104

Physical Therapist

Lori Windle , SLP

Speech-Language Pathologist

NPI 1013203892

Speech-Language Pathologist

Alicia Windham , OT

Occupational Therapist

NPI 1013218981

Occupational Therapist

Joe Smelser , PT

Physical Therapist

NPI 1013262120

Physical Therapist

Sarah Chancelor , LPTA

Physical Therapy Assistant

NPI 1023157963

Licensed Physical Therapist Assistant

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 April 26, 2019

Record deactivated on April 26, 2019

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 711 AVIGNON DR, RIDGELAND, MS 391575120 (Tel: 6016056777)

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Updated Business Mailing Address July 08, 2007

Registered at 2514 34TH AVE, MERIDIAN, MS 393011865 (Tel: 6014824637)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANNETTE WIMBERLY, SLP

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

Speech-Language Pathologist (License #S0168 in MS)

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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: 1114047529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: July 08, 2007
Deactivation Date: April 26, 2019

Mailing Address

2514 34th Ave

Meridian, MS 393011865

Phone: 6014824637

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.