Lori Brazell Wills, ED.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007968 Issued in GA

Practice address

5150 Stilesboro Rd NW Ste 210
Kennesaw, GA 30152-7742

Phone

(404) 273-7478

NPI assigned

Jun 2, 2025

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Cobb Speech & Language Services

  • Speech-Language Pathologist
  • Marietta, GA
  • NPI 1316402803
  NPD (past)

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1508759101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 MACK DOBBS RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523266",
            "telephone_number": "404-863-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527742",
            "telephone_number": "404-273-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "LORI",
        "middle_name": "BRAZELL",
        "name_prefix": "Mrs.",
        "credential": "ED.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willis Family Chiropractic, LLC
• Amy Dee Willis, D.C.
• Justin Kyle Willis, D.C.
• Nancy Kay Willis, D.C.
• William N Willis, D.C.
• Ashley Wilson, PTA
• Bradley Neal Wilson, DC
• Daivon Maleke Wilson
• Jesceria Wilson
• Katisha L Wilson, PHARMD

• Speech-Language Pathologist in Kennesaw, GA
• Providers in Kennesaw, 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 2, 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.