Active NPI
Larry Elbert Bobbitt
- Speech-Language Pathologist
- Wake Forest, NC
National Provider Identifier
1104774082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30003887
- Practice address
- 3517 Coach Lantern Ave
Wake Forest, NC 27587-4866 - Phone
- (919) 948-8951
- NPI assigned
- Mar 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 30003887 | NC | Primary |
Addresses
Primary practice location
3517 Coach Lantern Ave
Wake Forest, NC 27587-4866
Mailing address
3517 Coach Lantern Ave
Wake Forest, NC 27587-4866
Phone (919) 948-8905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30003887 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773792000000",
"number": "1104774082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3517 COACH LANTERN AVE",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874866",
"telephone_number": "919-948-8905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 COACH LANTERN AVE",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874866",
"telephone_number": "919-948-8951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBBITT",
"first_name": "LARRY",
"middle_name": "ELBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-18",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30003887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.