Madisyn Bolinger
Individual provider Active NPI Speech-Language Pathologist · Ravenel, SC
NPI 1124972070 · NPPES record last updated Feb 25, 2026
Key facts
- NPI
- 1124972070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP.9126 (SC)
- Practice address
- 5540 Old Jacksonboro Rd
Ravenel, SC 29470-5201 - Phone
- (843) 889-9411
- NPI assigned
- Feb 25, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.9126 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP.9126 | SC | Yes |
Addresses
Primary practice location
5540 Old Jacksonboro Rd
Ravenel, SC 29470-5201
Mailing address
83 Avonshire Dr
Summerville, SC 29483-7367
Other providers in Ravenel, SC
- Rosalyn F Adams
- Eric Amoah
- Sean Britton
- Ashia Brown
- Mary Jane Condell
- Sandra C Crosby
- Fetter Health Care Network, Inc.
All providers in Ravenel, SC · Speech-Language Pathologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.