Herbert Lackey III

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP013643 Issued in GA

Practice address

54 Battlefield Canopy Cir
Ringgold, GA 30736-5052

Phone

(706) 445-3655

NPI assigned

Jun 18, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Weston Group of Tennessee IncGroup PAC ID 9436377355, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Weston Group of Tennessee Inc

  • Physical Therapist
  • Hixson, TN
  • NPI 1467866848
  Care Compare group
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1114814712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BATTLEFIELD CANOPY CIR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BATTLEFIELD CANOPY CIR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307365052",
            "telephone_number": "706-445-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "HERBERT",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP013643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena U Kowalski, MD
• Andrea Krouse
• Neethu Kurien, MD
• L. Andre Hardy, MD LLC
• L&W Medical Services LLC
• Elizabeth K Ladd, ED. D, PHD
• Holly Hardin Landen, LMSW
• Amelia Lapham
• Briana Michelle Lawson, BS, CD
• Gloria Ann Lee, OPTICIAN/OWNER

• Speech-Language Pathologist in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.