Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Erin Destiny Wilson

Individual provider Speech-Language Pathologist · NPI 1306622949

Erin Destiny Wilson is a Qualified Speech Language Pathologist in Grayson, Georgia. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023

Practice location Address checks out

1637 Athens Hwy Ste B
Grayson, GA 30017-1768
Phone: (770) 995-9600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP012637 (GA)

Record details

NPI number1306622949
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023
Mailing address1637 Athens Hwy Ste B, Grayson, GA 30017-1768

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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