ERICA R WILSON (NPI# 1801890439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801890439 |
| Entity Type | Individual |
| Full Name | ERICA R WILSON |
| Credential | MEDCCCSLP |
| Practice Address |
2395 Wall St Se Suite 190 Conyers GA 30013-6703 |
| Mailing Address |
3141 Brighton Pass Conyers GA 30094-3357 |
| Practice Telephone | 4042028490 |
| Practice Fax Number | 7706799344 |
| Mailing Telephone | 4042028490 |
| Mailing Fax Number | 7706799344 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006266 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 435026966A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448749 | Erica Toy Wilson | Physician Assistant | 44 Water Street, Owingsville, KY 40360 | 2019-10-14 |
| 1982254801 | Erica A Wilson | Pharmacist | 304 St. Charles Way, York, PA 17402-4647 | 2019-09-12 |
| 1356853113 | Erica Wilson | Technician | 900 Varney St Se Apt 209, Washington, DC 20032-4315 | 2017-11-01 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1063024974 | Erica C Wilson | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-08-21 |
| 1578199519 | Erica Wilson | Pharmacist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-22 |
| 1003448622 | Erica Wilson | Peer Specialist | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-02-11 |
| 1922630375 | Erica Suzanne Wilson | Counselor | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-02-04 |
| 1306315635 | Erica Wilson | Technician, Other | 2222 Martin Ste 170, Irvine, CA 92612-1450 | 2018-11-15 |
| 1407333768 | Erica Joyce Wilson | Nurse Practitioner | 100 N Pointe Blvd, Mount Airy, NC 27030-2266 | 2018-07-19 |
| Street Address |
2395 WALL ST SE SUITE 190 |
| City | CONYERS |
| State | GA |
| Zip Code | 30013-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063852499 | Nondi C Chappell | Speech-Language Pathologist | 2395 Wall St Se, Suite 190, Conyers, GA 30013-6703 | 2013-06-29 |
| 1063778710 | Laterrian Marie Robinson | Speech-Language Pathologist | 2395 Wall St Se, Ste 170, Conyers, GA 30013-6703 | 2012-04-06 |
| 1841437829 | Sharon Wheelock Ludlow | Speech-Language Pathologist | 2395 Wall St Se, Suite 170, Conyers, GA 30013-6703 | 2009-01-14 |
| 1912107079 | South Dekalb Pediatrics | Pediatrics | 2395 Wall St Se, Suite 700, Conyers, GA 30013-6703 | 2007-07-18 |
| 1619021284 | Dawn F Sampson | Speech-Language Pathologist | 2395 Wall St Se, Suite 190, Conyers, GA 30013-6703 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842295 | Fit Therapy, LLC | Physical Therapist | 2008 Eastview Parkway, Suite 150, Conyers, GA 30013 | 2020-05-12 |
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1386201820 | Achundris P Taylor | Social Worker | Harvest Grove Lane, Conyers, GA 30013 | 2019-05-21 |
| 1588153381 | Curbside Medical Transporters | Ambulance | 2404 Brynlyn Woods Dr Ne, Conyers, GA 30013 | 2018-05-07 |
| 1184124877 | Nursing Companion, LLC | Homemaker | 1064 Duke Dr, Conyers, GA 30013 | 2018-02-19 |
| 1588163638 | Atlanta Plus Urgent Care | Clinic/Center | 2121 Salem Rd. Se, Conyers, GA 30013 | 2018-02-05 |
| 1043735244 | Niki Tanyell Davis | Licensed Practical Nurse | 1403 Windy Hill Court, Conyers, GA 30013 | 2017-08-08 |
| 1063941490 | Comprehensive Health and Rehab LLC | Clinic/Center | 2500 Riverton Drive, Conyers, GA 30013 | 2017-06-08 |
| 1306373188 | Graceol Corporation | Family Medicine | 1035 Honey Creek Rd, Conyers, GA 30013 | 2017-05-11 |
| 1881149268 | Jsa Dental Associates Conyers PC | Dentist | 1151 Nor Tec Dr, Suite B, Conyers, GA 30013 | 2016-08-16 |
| Find all providers in zip 30013 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581178 | Junette Cupid | Speech-Language Pathologist | 2072 Belmont Cir, Conyers, GA 30012-7112 | 2019-07-30 |
| 1790255610 | Communication Corner, LLC | Speech-Language Pathologist | 2395 Wall St Se Ste 290, Conyers, GA 30013-6703 | 2018-12-04 |
| 1891244620 | Angela Hutchinson | Speech-Language Pathologist | 728 Peaks Lndg, Conyers, GA 30013-5064 | 2016-09-21 |
| 1952764326 | Clear Speech, LLC | Speech-Language Pathologist | 2395 Wall St Se Ste 190, Conyers, GA 30013-6703 | 2016-04-01 |
| 1588023709 | Keion Kerr | Speech-Language Pathologist | 402 Derbyshire Ct Se, Conyers, GA 30094-4261 | 2016-02-16 |
| 1801209861 | Salome Angelle Ranson | Speech-Language Pathologist | 1705 Highway 138 Se Unit 82981, Conyers, GA 30013-0159 | 2014-06-07 |
| 1932462819 | Whitney Tisdale | Speech-Language Pathologist | 2395 Wall St Se Ste 170, Conyers, GA 30013-6703 | 2012-06-16 |
| 1811053952 | Vanessa P. Williams | Speech-Language Pathologist | 1300 Oxford Dr Se, Conyers, GA 30013-6409 | 2006-12-30 |
| 1568453595 | Ida Racheryl Lenoir-monroe | Speech-Language Pathologist | 1505 Aughton Ct, Conyers, GA 30013-7410 | 2005-10-31 |
| 1538163167 | Pauline L Kuntz | Speech-Language Pathologist | 2160 Smyrna Ridge Ct Sw, Conyers, GA 30094-6200 | 2005-06-10 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.