| Mrs Ainsley P Vergara, MED, CCC-SLP | |
| 110 Carlton St., 593 Aderhold, Athens, GA 30602 | |
| (706) 542-4598 | |
| Not Available | 
| Full Name | Mrs Ainsley P Vergara | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 110 Carlton St., Athens, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043733280 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP10644 (Arizona) | Primary | 
| Provider Name | Northern Arizona University | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1912950486 PECOS PAC ID: 0042342115 Enrollment ID: O20100726000284 | 
| Provider Name | Theracare Pllc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1962784249 PECOS PAC ID: 9830437433 Enrollment ID: O20190206001321 | 
| Provider Name | Heartland Therapy, Inc. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1962552547 PECOS PAC ID: 8325389190 Enrollment ID: O20190403002226 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Ainsley P Vergara, MED, CCC-SLP 209 Hidden Spring Way, Athens, GA 30605-5746 Ph: (478) 357-5353 | Mrs Ainsley P Vergara, MED, CCC-SLP 110 Carlton St., 593 Aderhold, Athens, GA 30602 Ph: (706) 542-4598 | 
| Jackson Speech Therapy Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 380 Lakeland Dr, Athens, GA 30607 Phone: 706-224-1178 | |
| Lawrence Dwayne Cumbus, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1175 Oglethorpe Ave, Ste B, Athens, GA 30606 Phone: 706-353-3575 Fax: 706-353-1606 | |
| Laura Beth Guest, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1090 Robinson Ct, Athens, GA 30606 Phone: 478-972-7941 | |
| Bok Bok Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1060 Gaines School Rd Ste A2, Athens, GA 30605 Phone: 770-335-6912 | |
| Katitlyn Buskirk, M.SP. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 170 Rumson Rd, Athens, GA 30605 Phone: 610-428-6332 Fax: 866-753-4652 | |
| Sally Blakely Stewart, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 242 King Ave, First Floor, Medical Services Building, Athens, GA 30606 Phone: 706-475-3511 |