Active NPI
Casey C. Hogan, SLP
- Speech-Language Pathologist
- Valdosta, GA
National Provider Identifier
1396059309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP004888
- Practice address
- 507 Knob Hill Rd
Valdosta, GA 31602-4241 - Phone
- (229) 242-1391
- Fax
- (229) 242-1391
- NPI assigned
- Aug 2, 2010
- Last updated
- Jan 22, 2012
- 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 | SLP004888 | GA | Primary |
Addresses
Primary practice location
507 Knob Hill Rd
Valdosta, GA 31602-4241
Mailing address
507 Knob Hill Rd
Valdosta, GA 31602-4241
Phone (229) 242-1391
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 |
|---|---|---|---|
| SLP004888 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Therapy Solutions, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Valdosta, GA
- NPI 1154692929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327190400000",
"number": "1396059309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 KNOB HILL RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316024241",
"telephone_number": "229-242-1391",
"fax_number": "229-242-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 KNOB HILL RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316024241",
"telephone_number": "229-242-1391",
"fax_number": "229-242-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGAN",
"first_name": "CASEY",
"middle_name": "C.",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2012-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP004888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.