P Praxis·MD
● Active Type 1 · Individual

MRS. Stacey Ann Busboom, ED.S., CCC-SLP

Speech-Language Pathologist·Monroe, GA· NPI 1295971612 · Enumerated 2009 · 17 years on NPI
Busboom is 1 of 8 speech-language pathologist providers in Monroe and 1 of 5327 in Georgia.
NPI age
17 years
Enumerated 2009-01-07
Primary specialty
Speech-Language Pathologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5327 active speech-language pathologist providers in Georgia.

NPI age
17 years
↑ 7 yr above median (10 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-01Enumerated in NPPES
2009 2026

Where they practice

Practice location
4535 Chandler Ct
Monroe, GA 306563688
📞 7706250029
Mailing address
4535 Chandler Ct
Monroe, GA 306563688
📞 7706250029

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 #SLP006818 taxonomy 235Z00000X

Identifiers

TypeValueNotes
05 (GA) 432013779A

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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