Kenneth Allen Thisdale, M.A., CCC-SLP
NPI 1013901156ActiveIndividual· Speech-Language Pathologist· Snellville, GA
Speech-Language Pathologist (M.A., CCC-SLP) in Snellville, Georgia, licensed in GA, with an NPI issued in September 2005. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1013901156 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., CCC-SLP |
| Sole proprietor | No |
| NPI issued | Sep 6, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP003500 | GA |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Georgia, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Kenneth A. Thisdale · Therapist | 1128a1 | Jul 19, 2012 | Americus, GA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 53 speech-language pathologists in Snellville · All speech-language pathologists in Georgia