NPI age
8 years
Enumerated 2018-04-12
● Active Type 2 · Organization
Southern Pediatric Speech Therapy Llc
Southern Pediatric Speech Therapy Llc is 1 of 126 early intervention provider agency organizations in Georgia.
Primary specialty
Early Intervention Provider Agency
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hales
Owner
Last NPPES update
2018-06-16
Source: monthly bulk 2026-05
How this organization compares
Across 126 active early intervention provider agency providers in Georgia.
NPI age
8 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-04Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
108 Walnut St
Bloomingdale, GA 313028535
Mailing address
108 Walnut St
Bloomingdale, GA 313028535
Authorized official
Holly Hales, SLP
Owner
📞 9126586433
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Holly Hales, M.S., CCC-SLP Speech-Language Pathologist NPI 1215368089
Specialties
-
Early Intervention Provider Agency PrimaryEarly intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003195129A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.