NPI age
15 years
Enumerated 2010-07-14
● Active
Type 1 · Individual
Kelly Lynn Wilson
Wilson is 1 of 3 speech-language pathologist providers in Fort Moore and 1 of 5327 in Georgia.
Primary specialty
Speech-Language Pathologist
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-13
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
15 years
↑ 5 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-07Enumerated in NPPES
2010
2026
Where they practice
Practice location
6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 319052102
Mailing address
6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 319052102
Specialties
-
Speech-Language Pathologist PrimaryThe 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 80S945 | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 214307501 |
Practice context
Part of a multi-provider practice. 57 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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