Mrs Shelonda A Porter, MED, CCC-SLP in Waycross, GA

Mrs Shelonda A Porter, MED, CCC-SLP is a Speech-language Pathologist based in Waycross, Georgia. Mrs Shelonda A Porter is licensed to practice in Georgia (license number SLP005147) and her current practice location is 3085 Bentwood Dr, Waycross, Georgia. She can be reached at her office (for appointments etc.) via phone at (912) 288-0214.

NPI number for Mrs Shelonda A Porter is 1356414726 and her current mailing address is 3085 Bentwood Dr, Waycross, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356414726.

Contact Information

	Mrs Shelonda A Porter, MED, CCC-SLP
	3085 Bentwood Dr, Waycross, GA 31503-4117
	(912) 288-0214
	(912) 283-1570

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shelonda A Porter
Gender	Female
Speciality	Speech-language Pathologist
Location	3085 Bentwood Dr, Waycross, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1356414726
Provider Enumeration Date: 11/15/2006
Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mrs Shelonda A Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356414726	NPI	-	NPPES
12039364	Other		ASHA CERTIFICATION
1364319	Other	GA	GSHA MEMBERSHIP
10034561	Medicaid	GA
305511	Medicaid	GA
SLP005147	Other	GA	GA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP005147 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shelonda A Porter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shelonda A Porter, MED, CCC-SLP 3085 Bentwood Dr, Waycross, GA 31503-4117 Ph: (912) 288-0214	Mrs Shelonda A Porter, MED, CCC-SLP 3085 Bentwood Dr, Waycross, GA 31503-4117 Ph: (912) 288-0214

Reviews and Comments

Speech-Language Pathologist in Waycross, GA

Ansley Stroud Sellers, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757
Michelle Mitchell, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757
Heather Marie Simmons, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777
Ms. Daphne Ann Tillman-jones, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2927 Blue Jay Trl, Waycross, GA 31501 Phone: 912-288-3574
Amber Johnson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1415 Alice St, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757
Emily Ray, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 Boulevard Sq Ste F, Waycross, GA 31501 Phone: 912-342-8875 Fax: 912-342-8016
Shannon Wright, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 303 Pineview Dr, Waycross, GA 31501 Phone: 912-283-0777 Fax: 912-283-7757

Mrs Shelonda A Porter, MED, CCC-SLP - Speech-Language Pathologist in Waycross, GA