P Praxis·MD
● Active Type 1 · Individual

MRS. Tanya Williams Clark, CCC-SLP

Speech-Language Pathologist·Bainbridge, GA· NPI 1518022425 · Enumerated 2006 · 19 years on NPI
Clark is 1 of 21 speech-language pathologist providers in Bainbridge and 1 of 5327 in Georgia.
NPI age
19 years
Enumerated 2006-12-22
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-01-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 South West St.
Bainbridge, GA 39817
📞 2292482837fax 2292482844
Mailing address
100 South West St.
Bainbridge, GA 39817
📞 2292482837fax 2292482844

Specialties

  • Speech-Language Pathologist Primary
    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...
    GA license #SLP004670 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (GA) 000865664B

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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