P Praxis·MD
● Active Type 1 · Individual

Kelly Phillips, SLP

Specialist/Technologist·Bainbridge, GA· NPI 1932169489 · Enumerated 2006 · 20 years on NPI
Phillips is 1 of 2 specialist/technologist providers in Bainbridge and 1 of 25 in Georgia.
NPI age
20 years
Enumerated 2006-03-27
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 25 active specialist/technologist providers in Georgia.

NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
713 E Shotwell St
Bainbridge, GA 398194063
📞 2292464088fax 2292430200
Mailing address
713 E Shotwell St
Bainbridge, GA 398194063
📞 2292464088fax 2292430200

Specialties

  • Specialist/Technologist Primary
    Definition to come...
    GA license #SLP003034 taxonomy 2355S0801X

Identifiers

TypeValueNotes
05 (GA) 00919718A

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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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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