Angelique Sanders, MED, CCC-SLP
NPI 1114310026ActiveIndividual· Speech-Language Pathologist· Macon, GA
Speech-Language Pathologist (MED, CCC-SLP) with Broad River Rehabilitation, practicing in Macon, Georgia. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1114310026 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MED, CCC-SLP |
| Sole proprietor | No |
| NPI issued | Mar 17, 2015 |
| Last updated in NPPES | Jan 15, 2026 |
| Certified by provider | Jan 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 10396 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (GA) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Broad River RehabilitationCharlotte, NC · 202 clinicians
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