Active NPI
Holly Christine Summerlin
- Speech-Language Pathologist
- Greensboro, NC
National Provider Identifier
1194584011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30002621
- Practice address
- 1103 N Elm St Ste 300
Greensboro, NC 27401-6312 - Phone
- (336) 272-6161
- Fax
- (336) 230-2150
- NPI assigned
- Mar 14, 2024
- 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 | 30002621 | NC | Primary |
Addresses
Primary practice location
1103 N Elm St Ste 300
Greensboro, NC 27401-6312
Mailing address
307 Upton St
Winston Salem, NC 27103-1735
Phone (336) 837-4222
Other practice location 1
307 Upton St
Winston Salem, NC 27103-1735
Phone (336) 837-4222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hsummerlin690020@direct.conehealth.com | Direct |
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, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 E Wendover Ave
FL 2
Greensboro, NC 27401-1221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30002621 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients |
Locations
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
1103 N Elm St
Ste 300
Greensboro, NC 27401
Phone (336) 271-3331
Interoperability endpoints
- hsummerlin690020@direct.conehealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
- Neurology with Special Qualifications in Child Neurology Physician
- Greensboro, NC
- NPI 1164949814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1194584011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 UPTON ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031735",
"telephone_number": "336-837-4222",
"fax_number": "336-419-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 N ELM ST STE 300",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274016312",
"telephone_number": "336-272-6161",
"fax_number": "336-230-2150"
}
],
"practiceLocations": [
{
"address_1": "307 Upton St",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271031735",
"country_code": "US",
"telephone_number": "336-837-4222",
"fax_number": "336-419-2755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMMERLIN",
"first_name": "HOLLY",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30002621",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hsummerlin690020@direct.conehealth.com",
"affiliation": "N",
"endpointDescription": "Cone Health Direct Messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1103 N Elm St Ste 300",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274016312",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.