Active NPI
Madisan Mae Herslebs, MS, CCC-SLP
- Speech-Language Pathologist
- Cleveland, GA
National Provider Identifier
1376017426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP013246
- Practice address
- 273 Quillian Street
Cleveland, GA 30528 - Phone
- (706) 865-6800
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | SLP013246 | GA | Primary |
Addresses
Primary practice location
273 Quillian Street
Cleveland, GA 30528
Mailing address
125 Wind Forest CT
Clarkesville, GA 30523
Phone (770) 823-0954
Other practice location 1
566 Murphy Highway
Suites 202 & 203
Blairsville, GA 30512
Phone (706) 525-5752
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP013246 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1376017426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WIND FOREST CT",
"city": "CLARKESVILLE",
"state": "GA",
"postal_code": "30523",
"telephone_number": "770-823-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 QUILLIAN STREET",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "30528",
"telephone_number": "706-865-6800"
}
],
"practiceLocations": [
{
"address_1": "566 Murphy Highway",
"address_2": "Suites 202 & 203",
"address_purpose": "LOCATION",
"city": "Blairsville",
"state": "GA",
"postal_code": "30512",
"country_code": "US",
"telephone_number": "706-525-5752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERSLEBS",
"first_name": "MADISAN",
"middle_name": "MAE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2024-10-09",
"certification_date": "2024-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP013246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.