Active NPI
Louise A Holbert, SLP
- Speech-Language Pathologist
- Grovetown, GA
National Provider Identifier
1356477061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006517
- Practice address
- 2011 Darwood Dr
Grovetown, GA 30813-4895 - Phone
- (678) 485-6239
- NPI assigned
- Feb 26, 2007
- 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 | SLP006517 | GA | Primary |
Addresses
Primary practice location
2011 Darwood Dr
Grovetown, GA 30813-4895
Mailing address
2011 Darwood Dr
Grovetown, GA 30813-4895
Phone (678) 485-6239
Other practice location 1
4405 Evans To Locks Rd
suite c
Evans, GA 30809-3603
Phone (706) 854-1598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 755945802B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP006517 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Home Pediatric Therapy Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Therapy Healthcare LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Grovetown, GA
- NPI 1457913048
-
- Pediatric Occupational Therapist
- Evans, GA
- NPI 1407983232
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1356477061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 DARWOOD DR",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308134895",
"telephone_number": "678-485-6239",
"fax_number": "706-243-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 DARWOOD DR",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308134895",
"telephone_number": "678-485-6239"
}
],
"practiceLocations": [
{
"address_1": "4405 Evans To Locks Rd",
"address_2": "suite c",
"address_purpose": "LOCATION",
"city": "Evans",
"state": "GA",
"postal_code": "308093603",
"country_code": "US",
"telephone_number": "706-854-1598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLBERT",
"first_name": "LOUISE",
"middle_name": "A",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "755945802B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.