Bethany Lormis, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011622 Issued in GA

Practice address

383 Camellia Rd
Midway, GA 31320-6728

Phone

(912) 980-9633

NPI assigned

Jun 30, 2021

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Logopedia Services LLC

  dba Logopedia Services

  • Speech-Language Pathologist
  • Midway, GA
  • NPI 1780368613
  NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1487224598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CAMELLIA RD",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313206728",
            "telephone_number": "912-980-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 CAMELLIA RD",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313206728",
            "telephone_number": "912-980-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORMIS",
        "first_name": "BETHANY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "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": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Elaine Lamb, AMFT
• Liberty Orthopaedic Associates
• Liberty Regional Medical Center Inc (Liberty Regional Orthopaedics)
• Logopedia Services LLC (Logopedia Services)
• Betty Jane Long
• Magnolia Manor of Liberty County, Inc. (Magnolia Manor of Midway)
• Sara Collette Masters
• Kimberly Page McClary
• Midway Family Dental (RB Jackson, III DMD)
• Mission1Heart Assisted Living Homes, LLC

• Speech-Language Pathologist in Midway, GA
• Providers in Midway, GA by specialty
• 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.