Avery Swain Waters, MA, CCC-SLP
NPI 1316786247ActiveIndividual· Speech-Language Pathologist· Lawrenceville, GA
Speech-Language Pathologist (MA, CCC-SLP) with Expressable Therapy PC, practicing in Lawrenceville, Georgia. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1316786247 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, CCC-SLP |
| Sole proprietor | No |
| NPI issued | May 21, 2024 |
| Last updated in NPPES | Sep 1, 2026 |
| Certified by provider | Sep 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 30005306 | NC |
| Speech-Language Pathologist | 235Z00000X | 9728 | TN |
| Speech-Language Pathologist | 235Z00000X | SLP013047 | 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); Practitioner - Qualified Speech Language Pathologist (NC); Practitioner - Qualified Speech Language Pathologist (TN) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Expressable Therapy PCGreenwich, CT · 67 clinicians
Other Speech-Language Pathologist providers in Lawrenceville
- 1073972196
- 1457427338
- 1972596898
- 1801211636
- 1083262836
- 1730595356
- 1912544156
- 1972728889
- 1538816996
- 1194489484
- 1356924823
- 1669959847