Active NPI
Christie L Grogan, SLP
- Speech-Language Pathologist
- Fort Mill, SC
National Provider Identifier
1104027622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7686
- Practice address
- 3421 Blue Jay Pass
Fort Mill, SC 29708-7807 - Phone
- (540) 529-6866
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7686 | NC | Primary |
Addresses
Primary practice location
3421 Blue Jay Pass
Fort Mill, SC 29708-7807
Mailing address
3421 Blue Jay Pass
Fort Mill, SC 29708-7807
Phone (540) 529-6866
Other practice location 1
1001 W Wt Harris Blvd
Charlotte, NC 28262-8549
Phone (704) 863-5780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1920 W Potomac Ave
Chicago, IL 60622-3149
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7686 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prava PC | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1104027622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 BLUE JAY PASS",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087807",
"telephone_number": "540-529-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 BLUE JAY PASS",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087807",
"telephone_number": "540-529-6866"
}
],
"practiceLocations": [
{
"address_1": "1001 W Wt Harris Blvd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282628549",
"country_code": "US",
"telephone_number": "704-863-5780",
"fax_number": "704-863-5786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROGAN",
"first_name": "CHRISTIE",
"middle_name": "L",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.