Hogan Speech Pathology

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

HOGAN SPEECH PATHOLOGY

Practice address

317 S Mulberry St
Statesville, NC 28677-5737

Phone

(941) 586-9416

NPI assigned

Dec 26, 2024

Organization subpart

No

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

Authorized official

Name

Tessie Hogan, CCC-SLPNPI 1811327455

Title

Speech-Language Pathologist/Owner

Phone

(941) 586-9416

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tessie Hogan, CCC-SLP

  • Speech-Language Pathologist
  • Statesville, NC
  • NPI 1811327455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735430400000",
    "number": "1316755077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S MULBERRY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775737",
            "telephone_number": "941-586-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S MULBERRY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775737",
            "telephone_number": "941-586-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGAN SPEECH PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-29",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "TESSIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "941-586-9416",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Carol Hill, FNP
• Erika Katherine Hill, M.D.
• O Jerry Hill Jr., DDS
• Shykita Edgerton Hill
• Kristin A Himes, PA-C
• Jane Hogan
• Tessie Hogan, CCC-SLP
• Walter Bowlin Holland, M.D.
• Sherie Hollar, ATC
• Randy Joseph Holleman, DMD

• Point of Service in Statesville, NC
• Providers in Statesville, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.