Kaley Liles

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

225 Wes Park Dr
Perry, GA 31069-4829

Phone

(478) 987-1610

NPI assigned

Jun 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Speech Path

  • Speech-Language Pathologist
  • Perry, GA
  • NPI 1487011888
  NPD (past)
• The Speech Path LLC

  • Speech-Language Pathologist
  • Macon, GA
  • NPI 1477950533
  NPD (past)

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1457080129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WES PARK DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694829",
            "telephone_number": "478-987-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WES PARK DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310694829",
            "telephone_number": "478-987-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "KALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Lavender, FNP
• Ashton Hunter Leavengood, D.M.D
• Holly Leavengood, DMD
• Lauren Ashley Lee, FNP
• Cherish B Leemon, CBD, CPD
• Lincare Inc.
• Raylee Lamb Locke, SLP
• Joseph Stephen R Lomboy, MD
• Lakita Renell Long, LPC
• Lotus Forward Behavioral Therapy LLC

• All providers in Perry, GA
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.