Individual provider Active NPI

Lauren Woody, CCC-SLP

  • Speech-Language Pathologist
  • Sharpsburg, GA
National Provider Identifier
1407421951
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP012745 Issued in GA
Practice address
66 Thomas Grace Annex LN
Sharpsburg, GA 30277-3568
Phone
(707) 683-0250
Fax
(770) 683-4250
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 SLP012745 GA Primary

Addresses

Primary practice location

66 Thomas Grace Annex LN
Sharpsburg, GA 30277-3568

Mailing address

66 Thomas Grace Annex LN
Sharpsburg, GA 30277-3568
Phone (707) 683-0250

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

LicenseStateTypeSpecialty
SLP012745GAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology Services of East Tennessee LLC Speech-Language Pathologist PastSince Jun 1, 2021 Accepting new patients
Interactiv Children's Therapy Services, Inc. Speech-Language Pathologist PastSince Jul 9, 2025 Accepting new patients
Little Tennessee Valley Educational Cooperative PastSince Jun 1, 2021 Accepting new patients

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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1407421951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 THOMAS GRACE ANNEX LN",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773568",
            "telephone_number": "707-683-0250",
            "fax_number": "770-683-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 THOMAS GRACE ANNEX LN",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773568",
            "telephone_number": "707-683-0250",
            "fax_number": "770-683-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "LAUREN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP012745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.