Individual provider Active NPI

Holly Christine Summerlin

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1194584011
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30002621 Issued in NC
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

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address hsummerlin690020@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028002405 NC Practitioner - Qualified Speech Language Pathologist 0648769984 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
30002621NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Oct 15, 2025 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Oct 15, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.