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NPI 1164626982
● Active Type 2 · Organization
Lagrange-Troup County Hospital Authority
Speech-Language Pathologist · Lagrange, GA · NPI 1164626982
·
Enumerated 2007 · 18 years on NPI
Lagrange-Troup County Hospital Authority is 1 of 5327 speech-language pathologist organizations in Georgia.
NPI age
18 years
Enumerated 2007-06-14
Primary specialty
Speech-Language Pathologist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fulks
Ceo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 5327 active speech-language pathologist providers in Georgia.
NPI age
18 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-06 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1514 Vernon Rd
Lagrange, GA 302404131
📞 7068453862 fax 7068453700
Mailing address
1514 Vernon Rd
Lagrange, GA 302404131
📞 7068453862 fax 7068453700
Authorized official
Gerald Fulks
Ceo
📞 7068821411
Individual providers at this organization
20 individual providers on file at this primary practice address.
Jung Ahn , MD
Anesthesiology
NPI 1215031901
Ezinne Akamiro , MD
Hospitalist
NPI 1922308378
John Andrulot , MD
Pathology
NPI 1285763755
Jared Angstadt , CRNA
Nurse Anesthetist, Certified Registered
NPI 1700400272
Nisha Aravindakshan Patel , MD, MPH
Internal Medicine
NPI 1942527478
Michele Ballister , DNP APRN CRNA CHSE
Nurse Anesthetist, Certified Registered
NPI 1003054586
David Barnes , MD
Emergency Medicine
NPI 1831125525
Brandon Bisso , NP
Nurse Practitioner
NPI 1306401260
Robert Bookman , MD
Hospitalist
NPI 1164953121
Melhim Bou Alwan , M.D.
Hospitalist
NPI 1164736542
Susan Braddy , CRNA
Nurse Anesthetist, Certified Registered
NPI 1205902699
Mark Brown , OTR/L
Occupational Therapist
NPI 1841261583
Shaundre Brown , MD
Hospitalist
NPI 1467763367
Cory Butzon , MD
Pediatrics
NPI 1659509685
Heather Coggins , MPA, RD, LD
Dietitian, Registered
NPI 1609860014
Darrin Coulter , PA
Physician Assistant
NPI 1932683802
Joshua Davis , DPT
Physical Therapist
NPI 1134322100
Holly Dawson , M.D.
Pediatrics
NPI 1134416894
Rod Duraski , MD
Internal Medicine
NPI 1649363300
Maurice Edwards-Lackey , MD
Emergency Medicine
NPI 1598269953
Specialties
Speech-Language Pathologist
Primary
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
GA license #1092 taxonomy 235Z00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.